| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE WELCH & WILLINGHAM | 300 FIRST AVENUE SOUTH 5TH FLOOR ST PETERSBURG, FL 33701 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $9K | $1K | $10K | 17.44% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $1K | $4K | 6.95% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE WELCH & WILLINGHAM | 300 1ST AVE SOUTH 5TH FLOOR SAINT PETERSBURG, FL 33701 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $772 | $6K | 17.16% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $618 | $2K | 6.73% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE WELCH & WILLINGHAM | 300 FIRST AVENUE SOUTH 5TH FLOOR ST PETERSBURG, FL 33701 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $468 | $4K | 17.15% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $375 | $1K | 6.72% |
| WALLACE WELCH & WILLINGHAM INC3 | 300 1ST AVE S 5TH FLOOR ST PETERSBURG, FL 33701 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 15.67% |
| MARK METTILLE3 | 422 WAUPONSEE ST MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $389 | — | $389 | 3.76% |
| BOON CHAPMAN BNFT ADMNSTRS INC3 | 9401 AMBERGLEN BLVD BLDG 1 SUITE 100 AUSTIN, TX 78729 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $389 | — | $389 | 3.76% |
| WALLACE WELCH & WILLINGHAM INC3 | 300 FIRST AVENUE SOUTH 5TH FLOOR ST PETERSBURG, FL 33701 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $80 | $2K | 20.99% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $438 | $53 | $491 | 5.63% |
| WATCHTOWER TECHNOLOGIES INC3 | 2734 N MILDRED AVE #3 CHICAGO, IL 60618 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $25 | $25 | 0.29% |
| WALLACE WELCH & WILLINGHAM INC3 | 300 FIRST AVENUE SOUTH 5TH FLOOR ST PETERSBURG, FL 33701 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $109 | $2K | 21.33% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $411 | $72 | $483 | 5.88% |
| WATCHTOWER TECHNOLOGIES INC3 | 2734 N MILDRED AVE #3 CHICAGO, IL 60618 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $24 | $24 | 0.29% |
| WALLACE WELCH & WILLINGHAM INC3 | 300 FIRST AVENUE SOUTH 5TH FLOOR SAINT PETERSBURG, FL 33701 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $504 | $85 | $589 | 17.52% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $168 | $68 | $236 | 7.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COM EIN 59-1031071 CLAIMS PROCESSING | Claims processing; Contract Administrator Service code 12 | — | $34K |
| CIGNA | Contract Administrator; Non-monetary compensation; Other services; Direct payment from the plan; Claims processing; Named fiduciary; Participant communication; Float revenue Service code 12 | — | $0 |
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 | 195 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 193 | $533K |
| Dental | RELIANCE STANDARD LIFE INSURANCE COMPANY | 385 | $82K |
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 385 | $82K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 195 | $57K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 76 | $22K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 67 | $36K |
| Other(7 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 195 | $145K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 385 | — |
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."
No prospect flags tripped on this filing.