| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $21K | $5K | $26K | 21.15% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 1.32% |
| FOSTER THOMAS INC3 | 181 HARRY S TRUMAN PKWY STE 110 ANNAPOLIS, MD 214017574 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $485 | $2K | 18.55% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $550 | $166 | $716 | 6.22% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $550 | $550 | 4.78% |
| FOSTER THOMAS INC3 | 181 HARRY S TRUMAN PKWY STE 110 ANNAPOLIS, MD 214017574 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $411 | $2K | 18.43% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $460 | $137 | $597 | 6.15% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $460 | $460 | 4.73% |
| FOSTER THOMAS INC3 | 181 HARRY S TRUMAN PKWY STE 110 ANNAPOLIS, MD 214017574 | METROPOLITAN LIFE INSURANCE COMPANY | $713 | $252 | $965 | 18.61% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $238 | $74 | $312 | 6.02% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $238 | $238 | 4.59% |
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 | 125 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 52 | $26K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 208 | $125K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 208 | $125K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 208 | $125K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 208 | $125K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 208 | $125K |
| Other(4 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 208 | $152K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 208 | — |
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.