No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ENTRUST, LLC CONTRACT | Contract Administrator; Claims processing Service code 12 | 22322 GRAND CORNER DR, STE 200 KATY, TX 77494 | $199K |
| FREMIN INSURANCE & RISK MANAGEMENT CONTRACT | Insurance agents and brokers Service code 22 | 140 RUE BEAUREGARD, STE C LAFAYETTE, LA 70508 | $35K |
| GIS BENEFITS CONTRACT | Insurance agents and brokers Service code 22 | 422 WAUPONSEE ST MORRIS, IL 60450 | $15K |
| BOON CHAPMAN BENEFIT ADMINISTRATORS CONTRACT | Insurance agents and brokers Service code 22 | 9401 AMBERGLEN BLVD, STE 100 AUSTIN, TX 78729 | $6K |
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 | 136 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 136 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPANION LIFE INSURANCE COMPANY | 149 | $425K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 576 | $199K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 576 | $199K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 576 | $199K |
| Short-term disability | RELIANCE STANDARD | 151 | $97K |
| Long-term disability | RELIANCE STANDARD | 151 | $97K |
| Prescription drug | COMPANION LIFE INSURANCE COMPANY | 149 | $425K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 149 | $425K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 576 | $199K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 576 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.