| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 606731298 | BLUE CROSS BLUE SHIELD OF TEXAS | $31K | $3K | $34K | 1.16% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. - IRVINE | PO BOX 803507 AON MSC#17595 DALLAS, TX 75380 | DEARBORN LIFE INSURANCE COMPANY | $21K | — | $21K | 14.11% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS INC. | PO BOX 6718 SOMERSET, NJ 088756718 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $150 | $3K | 12.42% |
| N-GAGE LLC3 | 1999 PINECREST RD SUAMICO, WI 543137653 | METROPOLITAN LIFE INSURANCE COMPANY | $582 | — | $582 | 2.56% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS INC. | PO BOX 6718 SOMERSET, NJ 088756718 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $144 | $2K | 13.72% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS INC. | PO BOX 6718 SOMERSET, NJ 088756718 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $66 | $1K | 11.25% |
| N-GAGE LLC3 | 1999 PINECREST RD SUAMICO, WI 543137653 | METROPOLITAN LIFE INSURANCE COMPANY | $151 | — | $151 | 1.37% |
| AON CONSULTING INC4 | 29840 NETWORK PLACE CHICAGO, IL 60673 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $459 | — | $459 | 11.99% |
| INTERMEDIARY SOLUTIONS COMPANY4 | 5 SAWGRASS CT. FRISCO, TX 75034 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $191 | — | $191 | 4.99% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 493 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 494 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TEXAS | 599 | $3.0M |
| Dental | BLUE CROSS BLUE SHIELD OF TEXAS | 599 | $3.0M |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 556 | $148K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 556 | $148K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 556 | $148K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 556 | $148K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF TEXAS | 599 | $3.0M |
| Other(5 contracts, 3 carriers) | DEARBORN LIFE INSURANCE COMPANY | 556 | $197K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 599 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.