| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT RD STE 240 SAINT CLOUD, MN 56301 | METROPOLITGAN LIFE INSURANCE COMPANY | $13K | $16 | $13K | 11.27% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITGAN LIFE INSURANCE COMPANY | $6K | $0 | $6K | 5.16% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITGAN LIFE INSURANCE COMPANY | $0 | $5K | $5K | 4.18% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITGAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 1.48% |
| NORTH RISK PARTNERS LLC3 | 622 ROOSEVELT RD STE 240 SAINT CLOUD, MN 56301 | METROPOLITGAN LIFE INSURANCE COMPANY | $0 | $1K | $1K | 0.93% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTH RISK PARTNERS LLC EIN 46-1375576 BROKER | Other commissions Service code 55 | 8204 S 109TH STREET LA VISTA, NE 68128 | $3.3M |
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | PO BOX 3054 SALT LAKE CITY, UT 84130 | $106K |
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 | 163 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITGAN LIFE INSURANCE COMPANY | 163 | $116K |
| Vision | METROPOLITGAN LIFE INSURANCE COMPANY | 163 | $116K |
| Life insurance | METROPOLITGAN LIFE INSURANCE COMPANY | 163 | $116K |
| Short-term disability | METROPOLITGAN LIFE INSURANCE COMPANY | 163 | $116K |
| Long-term disability | METROPOLITGAN LIFE INSURANCE COMPANY | 163 | $116K |
| Other | METROPOLITGAN LIFE INSURANCE COMPANY | 163 | $116K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 163 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.