| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDWARD T FOLTZ3 | 2900 WEST ROAD SUITE 223 EAST LANSING, MI 487340147 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $25K | — | $25K | 4.67% |
| STRATEGIC BENEFITS NETWORK LLC3 | 5797 HARVEY STREET STE A NORTON SHORES, MI 494449444 | BLUE CROSS BLUE SHIELD OF MICHIGAN | — | $864 | $864 | 0.16% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $3K | $14K | 18.71% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 1.67% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EDWARD T FOLTZ AGENT | Other commissions; Other fees; Insurance brokerage commissions and fees; Non-monetary compensation; Insurance agents and brokers Service code 22 | 2900 WEST ROAD SUITE 223 EAST LANSING, MI 487340147 | $25K |
| BOON CHAPMAN BENEFIT ADMINISTRATORS BROKER | Insurance agents and brokers; Other fees; Non-monetary compensation; Insurance brokerage commissions and fees; Other commissions Service code 22 | PO BOX 9201 AUSTIN, TX 787669201 | $14K |
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 | 170 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 93 | $528K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 170 | $77K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 170 | $77K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 170 | $77K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MICHIGAN | 93 | $528K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 170 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 170 | — |
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.