| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC | 225 NORTH SHORE DRIVE, SUITE 300 PITTSBURGH, PA 152125860 | SUN LIFE ASSURANCE COMPANY OF CANADA | $88K | — | $88K | 13.25% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $30K | $6K | $36K | 7.44% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC | 225 NORTH SHORE DRIVE, SUITE 300 PITTSBURGH, PA 152125860 | METROPOLITAN LIFE INSURANCE COMPANY | $23K | $77 | $23K | 4.82% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | P.O. BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $21K | $21K | 4.27% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET PITTSBURGH, PA 15224 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $18K | $1K | $19K | 5.36% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC | 225 NORTH SHORE DRIVE, SUITE 300 PITTSBURGH, PA 15224 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | — | $5K | 1.50% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 604502215 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $11K | $828 | $12K | 5.38% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC | 225 NORTH SHORE DRIVE, SUITE 300 PITTSBURGH, PA 152125860 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $10K | — | $10K | 4.50% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC | 225 NORTH SHORE DRIVE, SUITE 300 PITTSBURGH, PA 152125860 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $11K | — | $11K | 16.31% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 604502215 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $254 | $4K | 5.36% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC | 225 NORTH SHORE DRIVE, SUITE 300 PITTSBURGH, PA 152125860 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $11K | — | $11K | 16.55% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 604502215 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $242 | $4K | 5.36% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC | 225 NORTH SHORE DRIVE, SUITE 300 PITTSBURGH, PA 152125860 | VISION BENEFITS OF AMERICA | $7K | — | $7K | 10.00% |
| S TUCKFELT LLC3 Filed as: S TUCKFELT, LLC | 616 S MILLVALE AVENUE PITTSBURGH, PA 15224 | BOSTON MUTUAL LIFE INSURANCE COMPANY | $97 | — | $97 | 2.95% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC | 225 NORTH SHORE DRIVE, SUITE 300 PITTSBURGH, PA 152125860 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $77 | $77 | 31.30% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | P.O. BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $15 | $15 | 6.10% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $15 | — | $15 | 6.10% |
| DESSO FORMAN3 | 28059 US HIGHWAY 19 N, STE 201 CLEARWATER, FL 33761 | METROPOLITAN LIFE INSURANCE COMPANY | $10 | — | $10 | 4.07% |
| SEUBERT & ASSOCIATES, INC.3 Filed as: SEUBERT & ASSOCIATES INC | 225 NORTH SHORE DRIVE, SUITE 300 PITTSBURGH, PA 152125860 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $77 | $77 | 265.52% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $3 | $1 | $4 | 13.79% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | P.O. BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $3 | $3 | 10.34% |
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 | 1,107 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,109 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | METROPOLITAN LIFE INSURANCE COMPANY | 0 | $29 |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,623 | $482K |
| Vision | VISION BENEFITS OF AMERICA | 654 | $66K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,623 | $486K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,391 | $361K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 297 | $219K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 745 | $663K |
| Other(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,623 | $619K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,623 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.