| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON CHAPMAN BENEFIT ADMINSTRATORS | PO BOX 9201 AUSTIN, TX 787669201 | METROLOLITIAN LIFE INSURANCE CO | $47K | $18K | $65K | 17.98% |
| ELES ENTERPRISES INC3 | PO BOX 445 RIEGELSVILLE, PA 180770445 | METROLOLITIAN LIFE INSURANCE CO | $10K | — | $10K | 2.82% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROLOLITIAN LIFE INSURANCE CO | — | $3K | $3K | 0.93% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WELLPOWER INC EIN 22-3530108 NONE | Claims processing Service code 12 | — | $29K |
| COASTAL FINANCIAL GROUP INC EIN 22-3211956 NONE | Insurance agents and brokers Service code 22 | — | $5K |
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 | 206 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 207 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HIGHMARK INC- MEDICAL | 212 | $1.2M |
| Dental | METROLOLITIAN LIFE INSURANCE CO | 415 | $362K |
| Vision | HIGHMARK INC- VISION | 442 | $20K |
| Life insurance | METROLOLITIAN LIFE INSURANCE CO | 415 | $362K |
| Short-term disability | METROLOLITIAN LIFE INSURANCE CO | 415 | $362K |
| Long-term disability | METROLOLITIAN LIFE INSURANCE CO | 415 | $362K |
| Other | METROLOLITIAN LIFE INSURANCE CO | 415 | $362K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 442 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.