| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HALVORSON BENEFITS PLUS INC3 | 3320 WESTRAC DR SOUTH, SUITE D FARGO, ND 58103 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 12.25% |
| GIS NATIONAL3 | 9500 KOGER AVE STE 200 ST. PETERSBURG, FL 33702 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 6.13% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON CHAPMAN BNFT ADMNSTRS INC | PO BOX 9201, BLDG I SUITE 100 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $3K | $3K | 4.09% |
| HALVORSON BENEFITS PLUS INC3 | PO BOX 2125 FARGO, ND 58107 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | — | $6K | 15.01% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN BNFT ADMNSRS INC | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $553 | $553 | 1.41% |
| HALVORSON BENEFITS PLUS INC3 | PO BOX 2125 FARGO, ND 58107 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 15.01% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN BNFT ADMNSRS INC | PO BOX 9039 AUSTIN, TX 78766 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.01% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $324 | $324 | 1.34% |
| DIANA LEWIS3 Filed as: DIANA N LEWIS | — | COMBINED INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 7.70% |
| HALVORSON BENEFITS PLUS INC3 | PO BOX 2125 FARGO, ND 58107 | COMBINED INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 4.60% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | COMBINED INSURANCE COMPANY OF AMERICA | — | $998 | $998 | 4.23% |
| HALVORSON BENEFITS PLUS INC3 | 3320 WESTRAC DR SOUTH, SUITE D FARGO, ND 58103 | EQUITABLE | $3K | — | $3K | 15.05% |
| GIS NATIONAL3 | 9500 KOGER AVE STE 200 ST. PETERSBURG, FL 33702 | EQUITABLE | $786 | — | $786 | 4.65% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON CHAPMAN BNFT ADMNSRS INC | PO BOX 9201, BLDG I SUITE 100 AUSTIN, TX 78766 | EQUITABLE | — | $683 | $683 | 4.04% |
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 | 162 | 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) | 162 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 187 | $1.1M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 165 | $78K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 165 | $78K |
| Life insurance | EQUITABLE | 161 | $17K |
| Short-term disability(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 162 | $63K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 162 | $24K |
| Other | EQUITABLE | 161 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 187 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.