| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE SERVICES, | 175 S. MAIN STREET, SUITE 720 SALT LAKE CITY, UT 84111 | AETNA LIFE INSURANCE COMPANY | $33K | — | $33K | 5.07% |
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT PARKWAY AUSTIN, TX 78730 | AETNA LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | 175 S MAIN ST SUITE 720 SALT LAKE CITY, UT 84111 | AETNA LIFE INSURANCE COMPANY | $37K | — | $37K | 9.11% |
| THE BOON INSURANCE AGENCY | 6300 BRIDGEPOINT PARKWAY AUSTIN, TX 78730 | AETNA LIFE INSURANCE COMPANY | $32K | — | $32K | 7.89% |
| CBIZ BENEFITS & INSURANCE SERVICES5 | — | METROPOLITAN LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES Filed as: CBIZ BENEFITS & INSURANCE SRVC | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $2K | $0 | $2K | 0.65% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE | P.O. BOX 632886 CINCINNATI, OH 45263 | KAISER FOUNDATION HEALTH PLAN, INC. | $7K | — | $7K | 3.27% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSSERVICES, INC | PO BOX 632886 CINCINNATI, OH 45263 | THE HARTFORD | $6K | — | $6K | 4.96% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE SVCS INC | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $10K | — | $10K | 11.57% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE | SRVC OH P.O. BOX 632886 CINCINNATI, OH 45263 | CIGNA HEALTH & LIFE INSURANCE CO. | — | — | $0 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SERVICE | PO BOX 632886 CINCINNATI, OH 45263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $1K | $4K | 15.88% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE SERV | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA. | $2K | $186 | $3K | 10.78% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | PO BOX 632886 CINCINNATI, OH 45263 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $174 | $3K | 11.24% |
| THE BOON INSURANCE AGENCY | 6300 BRIDGE POINT PARKWAY AUSTIN, TX 78730 | TRANSAMERICA LIFE INSURANCE COMPANY | $822 | — | $822 | 5.14% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZBENEFITS & INSURANCE SERVICES I | 175 S MAIN STREET SUITE 720 SALT LAKE CITY, UT 84111 | TRANSAMERICA LIFE INSURANCE COMPANY | $778 | — | $778 | 4.87% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SERVICE | PO BOX 632886 CINCINNATI, OH 45263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $843 | $2K | 16.26% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SERVICE | PO BOX 632886 CINCINNATI, OH 45263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $635 | $371 | $1K | 15.84% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS AND INSURANCE SERVICE | PO BOX 632886 CINCINATTI, OH 45263 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $176 | $100 | $276 | 15.64% |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSSERVICES, INC | PO BOX 632886 CINCINNATI, OH 45263 | HARTFORD LIFE AND ACCIDENT | $9K | $2K | $11K | — |
| CBIZ BENEFITS & INSURANCE SERVICES3 Filed as: CBIZ BENEFITS & INSURANCE SERVICES, | 175 S. MAIN STREET, SUITE 720 SALT LAKE CITY, UT 84111 | TRANSAMERICA LIFE INSURANCE COMPANY | — | — | $0 | — |
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT PARKWAY AUSTIN, TX 78730 | TRANSAMERICA LIFE INSURANCE COMPANY | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CBIZ BENEFITS & INSURANCE SERVICES EIN 31-1582098 CONTRACT ADMINISTRATOR | Accounting (including auditing) Service code 10 | — | $163K |
| BOON ADMINISTRATIVE SERVICES EIN 33-0449333 CONTRACTED TPA | Contract Administrator; Claims processing Service code 12 | — | $32K |
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 | 2,189 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 198 | $1.7M |
| Dental(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 40 | $665K |
| Vision(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 40 | $454K |
| Life insurance(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $525K |
| Short-term disability(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 40 | $405K |
| Long-term disability(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 40 | $523K |
| Other(6 contracts, 5 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 379 | $537K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 379 | — |
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.