| 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 | 5.13% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | P. O BOX 9201 AUSTIN, TX 78766 | AMERITAS LIFE INSURANCE CORP. | $17K | $0 | $17K | 15.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $15K | $4K | $19K | 24.99% |
| SUMMIT FINANCIAL GROUP INC.3 | 5420 LYNDON B JOHNSON FWY SUITE 1940 DALLAS, TX 752406251 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $3K | $3K | 3.36% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.64% |
| MARK METTILLE3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $0 | $4K | 20.26% |
| SUMMIT FINANCIAL GROUP INC.3 Filed as: SUMMIT FINANCIAL GROUP, INC. | 5420 LYNDON B JOHNSON FWY SUITE 1940 DALLAS, TX 752406251 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $50 | $4K | 18.82% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE STREET MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $549 | $130 | $679 | 3.58% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | P.O. BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $549 | $549 | 2.89% |
| SUMMIT FINANCIAL GROUP INC.3 | 5420 LYNDON B JOHNSON FWY SUITE 1940 DALLAS, TX 75240 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $358 | $4K | 48.42% |
| MARK METTILLE3 | 422 WAUPONSEE ST. MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $309 | $3K | 28.21% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST. MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $504 | $304 | $808 | 9.10% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | P. O. BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $504 | $504 | 5.67% |
| SUMMIT FINANCIAL GROUP INC.3 Filed as: SUMMIT FINANCIAL GROUP | 5420 LBJ FREEWAY SUITE 1940 DALLAS, TX 75240 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $301 | $3K | 37.82% |
| MARK METTILLE3 | 422 WAUPONSEE ST. MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $263 | $2K | 17.70% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST. MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $414 | $246 | $660 | 7.78% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | P.O BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $414 | $414 | 4.88% |
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 | 370 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 371 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | COMMUNITY CARE HMO | 213 | $1.0M |
| Dental | AMERITAS LIFE INSURANCE CORP. | 174 | $110K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 174 | $110K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 447 | $77K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 447 | $77K |
| Other(4 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 447 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 447 | — |
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.