| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP INC | — | HIGHMARK, INC. | $18K | $0 | $18K | 2.14% |
| BALLA, DONALD LOUIS3 | — | HIGHMARK, INC. | $16K | $0 | $16K | 1.88% |
| COURY HEALTH SERVICES LLC3 | 965 GREENTREE RD SUITE 310 PITTSBURGH, PA 152196401 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $2K | $16K | 15.71% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $1K | $7K | 6.59% |
| COURY HEALTH SERVICES LLC3 | 965 GREENTREE ROAD SUITE 310 PITTSBURGH, PA 15220 | VISION BENEFITS OF AMERICA | $394 | $0 | $394 | 5.00% |
| COURY HEALTH SERVICES LLC3 | 965 GREENTREE RD SUITE 310 PITTSBURGH, PA 152196401 | METROPOLITAN LIFE INSURANCE COMPANY | $791 | $56 | $847 | 32.85% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $173 | $45 | $218 | 8.46% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | -$22 | -$22 | -0.85% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 Filed as: ENGLE-HAMBRIGHT- DAVIES INC | 1857 WILLIAM PENN WAY LANCASTER, PA 176016741 | METROPOLITAN LIFE INSURANCE COMPANY | -$30 | $0 | -$30 | -1.16% |
| MARK METTILLE3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | -$69 | $0 | -$69 | -2.68% |
| COURY HEALTH SERVICES LLC3 | 965 GREENTREE RD SUITE 310 PITTSBURGH, PA 152196401 | METROPOLITAN LIFE INSURANCE COMPANY | $661 | $31 | $692 | 30.10% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $150 | $27 | $177 | 7.70% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | -$12 | -$12 | -0.52% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 Filed as: ENGLE-HAMBRIGHT- DAVIES INC | 1857 WILLIAM PENN WAY LANCASTER, PA 176016741 | METROPOLITAN LIFE INSURANCE COMPANY | -$19 | $0 | -$19 | -0.83% |
| MARK METTILLE3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | -$44 | $0 | -$44 | -1.91% |
| MARK METTILLE3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $657 | $21 | $678 | 109.35% |
| COURY HEALTH SERVICES LLC3 | 965 GREENTREE RD SUITE 310 PITTSBURGH, PA 152196401 | METROPOLITAN LIFE INSURANCE COMPANY | $413 | $47 | $460 | 74.19% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $183 | $34 | $217 | 35.00% |
| ENGLE-HAMBRIGHT & DAVIES, INC.3 Filed as: ENGLE-HAMBRIGHT- DAVIES INC | 1857 WILLIAM PENN WAY LANCASTER, PA 176016741 | METROPOLITAN LIFE INSURANCE COMPANY | $202 | $0 | $202 | 32.58% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $60 | $60 | 9.68% |
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 | 205 | 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) | 205 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | HIGHMARK, INC. | 148 | $843K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 205 | $104K |
| Vision | VISION BENEFITS OF AMERICA | 99 | $8K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 205 | $104K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 205 | $104K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 205 | $104K |
| Prescription drug | HIGHMARK, INC. | 148 | $837K |
| Other(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 205 | $106K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 205 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.