| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DENVER MANAGEMENT ADVISORS3 Filed as: DENVER MANAGEMENT ADVISORS INC. | 5299 DTC BLVD., SUITE 540 GREENWOOD VILLAGE, CO 80111 | HUMANA HEALTH PLAN OF TEXAS, INC. | $38K | $0 | $38K | 5.06% |
| DENVER MANAGEMENT ADVISORS3 | 5299 DTC BLVD SUITE 1250 GREENWOOD VILLAGE, CO 80111 | METROPOLITAN LIFE INSURANCE COMPANY OF AMERICA | $8K | $0 | $8K | 11.68% |
| GIS NATIONAL3 | 9500 KOGER AVE SUITE 200 ST. PETERSBURG, FL 33702 | METROPOLITAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 4.99% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 BLDG I, SUITE 100 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY OF AMERICA | $0 | $3K | $3K | 4.93% |
| DENVER MANAGEMENT ADVISORS3 | 5299 DTC BLVD SUITE 1250 GREENWOOD VILLAGE, CO 80111 | EQUITABLE | $3K | $594 | $3K | 18.22% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 BLDG I, SUITE 100 AUSTIN, TX 78766 | EQUITABLE | $0 | $922 | $922 | 5.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | EQUITABLE | $594 | $0 | $594 | 3.22% |
| DENVER MANAGEMENT ADVISORS3 Filed as: DENVER MANAGEMENT ADVISOR | 5299 DTC BLVD SUITE 1250 GREENWOOD VILLAGE, CO 80111 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.81% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $518 | $0 | $518 | 5.27% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 BLDG I, SUITE 100 AUSTIN, TX 78766 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $518 | $518 | 5.27% |
| DENVER MANAGEMENT ADVISORS3 Filed as: DENVER MANAGEMENT ADVISORS, INC. | 5299 DTC BLVD., SUITE 1250 GREENWOOD VILLAGE, CO 80111 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 15.95% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $363 | $0 | $363 | 5.31% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 BLDG I, SUITE 100 AUSTIN, TX 78766 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $363 | $363 | 5.31% |
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 | 149 | 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) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA HEALTH PLAN OF TEXAS, INC. | 62 | $759K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY OF AMERICA | 143 | $69K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY OF AMERICA | 143 | $69K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY OF AMERICA | 143 | $69K |
| Short-term disability | EQUITABLE | 49 | $18K |
| Long-term disability | EQUITABLE | 49 | $18K |
| Other(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY OF AMERICA | 143 | $85K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 143 | — |
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.