| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $255K | $78K | $334K | 20.71% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF TENNESSEE INC | 26 CENTURY BLVD C/O JP MORGAN CHASE NASHVILLE, TN 606930128 | METROPOLITAN LIFE INSURANCE COMPANY | — | $14K | $14K | 0.86% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 372143685 | METROPOLITAN LIFE INSURANCE COMPANY | — | $13K | $13K | 0.79% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA INC | 12882 COLLECTIONS CENTER DRIVE CHICAGO, IL 506930126 | METROPOLITAN LIFE INSURANCE COMPANY | — | $5K | $5K | 0.33% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST INC | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 230609280 | METROPOLITAN LIFE INSURANCE COMPANY | — | $31 | $31 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST INC | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | DELTA DENTAL OF VIRGINIA | $26K | — | $26K | 3.80% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF VIRGINIA INC | 4951 LAKE BROOK DRIVE SUITE 300 GLEN ALLEN, VA 23060 | DELTA DENTAL OF VIRGINIA | $3K | — | $3K | 0.43% |
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 | 1,043 | 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) | 1,043 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 4,702 | $2.3M |
| Vision | VISION SERVICE PLAN | 794 | $125K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 4,702 | $1.6M |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 4,702 | $1.6M |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 4,702 | $1.6M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 4,702 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,702 | — |
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.