| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TABIT ARGANBRIGHT & HAZELBAKER INC.3 | 5007 PINE CREEK DR. WESTERVILLE, OH 430814849 | PRINCIPLE LIFE INSURANCE COMPANY | $9K | $0 | $9K | 9.86% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST. MORRIS, IL 604502215 | PRINCIPLE LIFE INSURANCE COMPANY | $0 | $9K | $9K | 9.55% |
| TABIT ARGANBRIGHT & HAZELBAKER INC.3 Filed as: TABIT ARGANBRIGHT & HASELBAKE | 5007 PINE CREEK DR. WESTERVILLE, OH 43081 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | $0 | $9K | 10.74% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN, INC. | PO BOX 9201 AUSTIN, TX 78766 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $4K | $4K | 4.62% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $4K | $4K | 4.62% |
| TABIT ARGANBRIGHT & HAZELBAKER INC.3 | 5007 PINE CREEK DR. WESTERVILLE, OH 43081 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $0 | $7K | 15.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN, INC. | PO BOX 9201 AUSTIN, TX 78766 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $2K | $2K | 5.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $2K | $2K | 5.00% |
| TABIT ARGANBRIGHT & HAZELBAKER INC.3 | 5007 PINE CREEK DR. WESTERVILLE, OH 43081 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 18.02% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $90 | $0 | $90 | 1.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN, INC. | PO BOX 9201 AUSTIN, TX 78766 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $90 | $0 | $90 | 1.00% |
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 | 180 | 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) | 180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPLE LIFE INSURANCE COMPANY | 212 | $92K |
| Vision | PRINCIPLE LIFE INSURANCE COMPANY | 212 | $92K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 166 | $130K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 166 | $84K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 166 | $84K |
| Other(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 166 | $139K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 212 | — |
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.