| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FORTUN INSURANCE INC3 | 365 PALERMO AVE CORAL GABLES, FL 33134 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | $47K | $50K | 3.45% |
| GBC BENEFITS LTD3 | 3221 COLLINSWORTH ST FORT WORTH, TX 76107 | UNITEDHEALTHCARE INSURANCE COMPANY | $1 | $4K | $4K | 0.29% |
| FORTUN INSURANCE INC3 Filed as: FORTUN INSURANCE | 365 PALERMO AVE CORAL GABLES, FL 33134 | EQUITABLE | $8K | — | $8K | 12.23% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | EQUITABLE | $3K | — | $3K | 4.70% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 BLDG I SUITE 100 AUSTIN, TX 78766 | EQUITABLE | — | $2K | $2K | 3.37% |
| FORTUN INSURANCE INC3 | 365 PALERMO AVE CORAL GABLES, FL 33134 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | — | $7K | 11.72% |
| GBC BENEFITS LTD3 | 3221 COLLINSWORTH ST STE 700 FORT WORTH, TX 76107 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $1K | $5K | 8.50% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 7.37% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | — | $5K | $5K | 7.37% |
| FORTUN INSURANCE INC3 | 365 PALERMO AVE CORAL GABLES, FL 33134 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 13.33% |
| GBC BENEFITS LTD3 | 3221 COLLINSWORTH ST FORT WORTH, TX 761075739 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $199 | $2K | 7.95% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $280 | $1K | 6.38% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 5.09% |
| FORTUN INSURANCE INC3 | 365 PALERMO AVE CORAL GABLES, FL 33134 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 16.74% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $988 | $297 | $1K | 6.52% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | — | $988 | $988 | 5.01% |
| GBC BENEFITS LTD3 | 3221 COLLINSWORTH ST FORT WORTH, TX 761075739 | METROPOLITAN LIFE INSURANCE COMPANY | $650 | $189 | $839 | 4.25% |
| FORTUNE INSURANCE AGENCY3 Filed as: FORTUNE INSURANCE INC | 365 PALERMO AVE CORAL GABBLES, FL 33134 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 20.20% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $475 | $141 | $616 | 6.57% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | — | $475 | $475 | 5.07% |
| GBC BENEFITS LTD3 | 3221 COLLINSWORTH ST FORT WORTH, TX 761075739 | METROPOLITAN LIFE INSURANCE COMPANY | $5 | $85 | $90 | 0.96% |
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 | 295 | 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) | 295 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 295 | $1.5M |
| Dental(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 295 | $1.5M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 227 | $63K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 227 | $63K |
| Short-term disability | EQUITABLE | 106 | $65K |
| Long-term disability | EQUITABLE | 106 | $65K |
| Other(4 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 227 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 295 | — |
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.
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.