| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURANCE RESOURCE GROUP INC3 | — | BLUE CROSS BLUE SHIELD OF LOUISIANA | $32K | $32K | $64K | 6.96% |
| SOUTHERN NATIONAL LIFE INSURANCE CO3 Filed as: SOUTHERN NATIONAL LIFE | — | BLUE CROSS BLUE SHIELD OF LOUISIANA | — | $353 | $353 | 0.04% |
| INSURANCE RESOURCE GROUP INC3 | 422 E COLLEGE ST LAKE CHARLES, LA 706051704 | PRINCIPAL LIFE INSURANCE COMPANY | $9K | $4K | $13K | 13.93% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $3K | $7K | 7.16% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | PRINCIPAL LIFE INSURANCE COMPANY | — | $2K | $2K | 2.08% |
| INSURANCE RESOURCE GROUP INC3 | 106 OIL CENTER DRIVE 250 LAFAYETTE, LA 705032459 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | $3K | $9K | 21.45% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| INSURANCE RESOURCE GROUP INC3 | 106 OIL CENTER DRIVE 2015 LAFAYETTE, LA 705032459 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | $2K | $8K | 19.44% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| INSURANCE RESOURCE GROUP INC3 | 106 OIL CENTER DRIVE 250 LAFAYETTE, LA 705032459 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $1K | $6K | 19.36% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| INSURANCE RESOURCE GROUP INC3 Filed as: INSURANCE RESOURCE GROUP INC. | 106 OIL CENTER DRIVE 250 LAFAYETTE, LA 705032459 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $335 | $2K | 18.02% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $555 | — | $555 | 5.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON CHAPMAN BENEFIT ADMINISTRATION | P. O. BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $257 | $1K | 18.27% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST. MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | — | $164 | $164 | 2.09% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | — | $16 | $16 | 0.20% |
| INSURANCE RESOURCE GROUP INC3 Filed as: INSURANCE RESOURCE GROUP, INC | 106 OIL CENTER DRIVE 250 LAFAYETTE, LA 705032459 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $339 | $2K | 19.39% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $387 | — | $387 | 5.00% |
| INSURANCE RESOURCE GROUP INC3 Filed as: INSURANCE RESOURCE GROUP, INC | 106 OIL CENTER DRIVE 250 LAFAYETTE, LA 705032459 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $850 | $164 | $1K | 17.90% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $283 | — | $283 | 4.99% |
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 | 243 | 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) | 243 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF LOUISIANA | 121 | $924K |
| Dental(3 contracts, 3 carriers) | BLUE CROSS BLUE SHIELD OF LOUISIANA | 121 | $1.0M |
| Vision(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 94 | $99K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 243 | $32K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 29 | $42K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 82 | $41K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF LOUISIANA | 121 | $924K |
| Other(4 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 243 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 243 | — |
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.