| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK S METTILLE | 422 WAUPONSEE STREET MORRIS, IL 604502215 | AMERITAS | — | $6K | $6K | 3.28% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC | 1701 GOLF ROAD STE 700 ROLLING MEADOWS, IL 60008 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $7K | — | $7K | 9.25% |
| MARK S METTILLE3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $3K | $3K | 4.35% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9201 AUSTIN, TX 78766 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $2K | $2K | 2.58% |
| EMPLOYER PLAN SVCS INC3 | 2180 NORTH LOOP WEST STE 400 HOUSTON, TX 77018 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $2K | — | $2K | 2.05% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $311 | $311 | 0.40% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC | 1701 GOLF ROAD STE 700 ROLLING MEADOWS, IL 60008 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $9K | — | $9K | 11.57% |
| MARK S METTILLE3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $4K | $4K | 4.67% |
| EMPLOYER PLAN SVCS INC3 | 2180 NORTH LOOP WEST STE 400 HOUSTON, TX 77018 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $2K | — | $2K | 2.57% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9201 AUSTIN, TX 78766 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $2K | $2K | 2.44% |
| GIS BENEFITS INC | 422 WAUPONSEE STREET MORRIS, IL 60450 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $245 | $245 | 0.32% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC | 1701 GOLF ROAD STE 700 ROLLING MEADOWS, IL 60008 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $9K | — | $9K | 15.86% |
| MARK S METTILLE3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $4K | $4K | 6.92% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $3K | $3K | 4.98% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | PO BOX 9201 AUSTIN, TX 78766 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $1K | $1K | 2.12% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC | 1701 GOLF ROAD TOWER THREE STE 700 ROLLING MEADOWS, IL 600084267 | THE HARTFORD | $3K | — | $3K | 6.41% |
| ASSOCIATED AGENCIES, INC Filed as: ASSOCIATED AGENCIES INC | 1701 GOLF ROAD 7TH FLOOR-TWR 3 ROLLING MEADOWS, IL 60008 | FIRST UNUM LIFE INSURANCE COMPANY | $5K | $246 | $5K | 13.33% |
| ASSOCIATED AGENCIES, INC3 Filed as: ASSOCIATED AGENCIES INC | 1701 GOLF ROAD STE 700 ROLLING MEADOWS, IL 60008 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $1K | — | $1K | 15.10% |
| MARK S METTILLE3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $453 | $453 | 5.67% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 Filed as: BOON CHAPMAN BNFT ADMNSTRS | 2180 NORTH LOOP WEST STE 400 HOUSTON, TX 77018 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | $136 | — | $136 | 1.70% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | — | $52 | $52 | 0.65% |
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 | 242 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 242 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EXCELLUS BLUE CROSS BLUE SHIELD | 242 | $777K |
| Dental | AMERITAS | 495 | $189K |
| Vision | AMERITAS | 495 | $189K |
| Life insurance | FIRST UNUM LIFE INSURANCE COMPANY | 268 | $39K |
| Other(5 contracts, 2 carriers) | LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK | 700 | $263K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 700 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.