| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JUSTIN LEBLANC3 | 209 BELLAGIO DRIVE LAKEWAY, TX 78734 | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | $15K | $0 | $15K | 11.65% |
| NATIONAL MGA INSURANCE ALLIANCE INC3 Filed as: NATIONAL MGA INSURANCE ALLIANCE | 405 WEST JEFFERSON STREET BROWNSVILLE, TX 78520 | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | $12K | $0 | $12K | 9.41% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF KENTUCKY, INC. | 13101 MAGISTERIAL DRIVE, SUITE 200 LOUISVILLE, KY 40223 | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | $6K | $0 | $6K | 5.07% |
| TOTAL DENTAL ADMINISTRATORS, INC.3 Filed as: TOTAL DENTAL ADMINISTRATORS | 6985 UNION PARK CENTER, SUITE 675 COTTONWOOD HEIGHTS, UT 84047 | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | $3K | $0 | $3K | 2.08% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF CALIFORNIA, INC. | 3697 MOUNT DIABLO BOULEVARD SUITE 100 LAFAYETTE, CA 94579 | ANTHEM BLUE CROSS | $4K | $0 | $4K | 3.93% |
| AMWINS3 Filed as: LISI LLC | 1600 WEST HILLSDALE BOULEVARD SUITE 201 SAN MATEO, CA 94403 | ANTHEM BLUE CROSS | $0 | $2K | $2K | 1.96% |
| S-K-A LIFE AGENCY INC.3 | 1635 SHAW AVENUE CLOVIS, CA 93611 | KAISER FOUNDATION HEALTH PLAN INC | $2K | $0 | $2K | 2.92% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF KENTUCKY, INC. | 13101 MAGISTERIAL DRIVE, SUITE 200 LOUISVILLE, KY 40223 | KAISER FOUNDATION HEALTH PLAN INC | $2K | $0 | $2K | 2.43% |
| JUSTIN LEBLANC3 | 209 BELLAGIO DRIVE LAKEWAY, TX 78734 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $20K | $0 | $20K | 37.79% |
| ASSUREDPARTNERS3 | 6200 SAVOY DRIVE SUITE 345 HOUSTON, TX 77036 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $18K | $0 | $18K | 32.95% |
| COMMODORE ALLEN BAKER3 | 6200 SAVOY DRIVE, SUITE 345 HOUSTON, TX 77036 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | $0 | $1K | 2.16% |
| BRANDON PENKO3 | 4927 MAGNOLIA BEND DRIVE ROSHARON, TX 77583 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $926 | $0 | $926 | 1.72% |
| BRENNAN BAKER3 | 6220 SAVOY, SUITE 345 HOUSTON, TX 77036 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $771 | $0 | $771 | 1.43% |
| JUSTIN LEBLANC3 | 209 BELLAGIO DRIVE LAKEWAY, TX 78734 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $6K | $0 | $6K | 11.99% |
| NATIONAL MGA INSURANCE ALLIANCE INC3 Filed as: NATIONAL MGA INSURANCE ALLIANCE | 405 WEST JEFFERSON STREET BROWNSVILLE, TX 78520 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $1K | $0 | $1K | 2.99% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF KENTUCKY, INC. | 13101 MAGISTERIAL DRIVE, SUITE 200 LOUISVILLE, KY 40223 | KAISER FOUNDATIONI HEALTH PLAN INC | $249 | $0 | $249 | — |
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 | 146 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | ANTHEM BLUE CROSS | 146 | $171K |
| Dental | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | 209 | $125K |
| Vision | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | 209 | $125K |
| Life insurance(2 contracts, 2 carriers) | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | 209 | $179K |
| Short-term disability | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | 209 | $125K |
| Prescription drug(3 contracts, 3 carriers) | ANTHEM BLUE CROSS | 146 | $171K |
| Other(3 contracts, 3 carriers) | COMPANION LIFE INSURANCE COMPANY DENTAL PLAN | 209 | $229K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 209 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.