| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SUMMIT FINANCIAL GROUP INC.3 Filed as: SUMMIT FINANCIAL GROUP | 1350 S BOULDER SUITE 300 TULSA, OK 74119 | COMMUNITY CARE HMO | $51K | $0 | $51K | 6.68% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | P. O. BOX 9201 BUILD I, SUITE 100 AUSTIN, TX 78766 | AMERITAS LIFE INSURANCE CORP. | $16K | $0 | $16K | 15.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $17K | $4K | $22K | 24.99% |
| SUMMIT FINANCIAL GROUP INC.3 | 5420 LYNDON B JOHNSON FWY SUITE 1940 DALLAS, TX 752406251 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $3K | $3K | 3.75% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.70% |
| MARK METTILLE3 | 422 WAUPONSEE ST. MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $23 | $2K | 24.48% |
| SUMMIT FINANCIAL GROUP INC.3 | 5420 LYNDON B JOHNSON FWY SUITE 1940 DALLAS, TX 75240 | METROPOLITAN LIFE INSURANCE COMPANY | $504 | $81 | $585 | 6.30% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST. MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $321 | $129 | $450 | 4.85% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | P. O. BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $321 | $321 | 3.46% |
| MARK METTILLE3 | 422 WAUPONSEE ST. MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $22 | $2K | 27.01% |
| SUMMIT FINANCIAL GROUP INC.3 Filed as: SUMMIT FINANCIAL GROUP | 5420 LBJ FREEWAY SUITE 1940 DALLAS, TX 75240 | METROPOLITAN LIFE INSURANCE COMPANY | $459 | $80 | $539 | 6.77% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST. MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $304 | $122 | $426 | 5.35% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | P.O BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $304 | $304 | 3.82% |
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 | 476 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 479 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | COMMUNITY CARE HMO | 202 | $793K |
| Dental | AMERITAS LIFE INSURANCE CORP. | 305 | $107K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 305 | $107K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 476 | $87K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 476 | $87K |
| Other(4 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 476 | $109K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 476 | — |
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.