| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GIS OF ILLINOIS3 Filed as: GIS BNEFITS | 422 WAUPONSEE STREET MORRIS, IL 60450 | AMERITAS LIFE INSURANCE CORP | — | $187 | $187 | 3.64% |
| JAMES PERRY ZANDER3 | 4655 N. CENTRAL EXPWY 2ND FLOOR DALLAS, TX 75205 | AMERITAS LIFE INSURANCE CORP | — | $99 | $99 | 1.93% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | 9401 AMBERGLEN BLVD STE 100 AUSTIN, TX 78729 | METROPOLITAN LIFE INSURANCE | $896 | $220 | $1K | 24.36% |
| GIS OF ILLINOIS3 Filed as: GIS BNEFITS | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE | — | $229 | $229 | 5.00% |
| JAMES PERRY ZANDER3 | 4655 N. CENTRAL EXPWY 2ND FLOOR DALLAS, TX 75205 | METROPOLITAN LIFE INSURANCE | — | $79 | $79 | 1.72% |
| JAMES PERRY ZANDER3 | 4655 N. CENTRAL EXPWY 2ND FLOOR DALLAS, TX 75205 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 3951.11% |
| MARK METTILLE3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | TRANSAMERICA LIFE INSURANCE COMPANY | $440 | — | $440 | 977.78% |
| GIS OF ILLINOIS3 Filed as: GIS BNEFITS | 422 WAUPONSEE STREET MORRIS, IL 60450 | TRANSAMERICA LIFE INSURANCE COMPANY | $287 | — | $287 | 637.78% |
| HEALTHCARE2U0 | 140 GRANITE RIDGE DRIVE STE 100 SPICEWOOD, TX 78669 | MONTGOMERY MANAGEMENT COMPANY | $15K | — | $15K | — |
| ASSURED BENEFITS ADMINISTRATORS5 | 221 N KANSAS STREET STE 1610 EL PASO, TX 79901 | MONTGOMERY MANAGEMENT COMPANY | $10K | — | $10K | — |
| JAMES ZANDER3 | 4655 N. CENTRAL EXPWY 2ND FLOOR DALLAS, TX 75205 | MONTGOMERY MANAGEMENT COMPANY | $5K | — | $5K | — |
| INDEPENDENT MEDICAL SYSTEMS0 | 8150 NORTH CENTRAL EXPWY STE 1700 DALLAS, TX 75206 | MONTGOMERY MANAGEMENT COMPANY | $2K | — | $2K | — |
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 | 115 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MONTGOMERY MANAGEMENT COMPANY | 37 | $0 |
| Vision | AMERITAS LIFE INSURANCE CORP | 121 | $5K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE | 161 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 161 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.