| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | $3K | $16K | 19.88% |
| MISSION EMPLOYER SOLUTIONS3 | 50 SCHENCK PKWY ASHEVILLE, NC 288033499 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 12.54% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 1.84% |
| MISSION EMPLOYER SOLUTIONS3 | 50 SCHENCK PKWY ASHEVILLE, NC 288033499 | METROPOLITAN LIFE INSURANCE COMPANY | $894 | — | $894 | 14.69% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $307 | $65 | $372 | 6.11% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON CHAPMAN ADMINISTRATORS | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | — | $307 | $307 | 5.04% |
| MISSION EMPLOYER SOLUTIONS3 | 50 SCHENCK PKWY ASHEVILLE, NC 288033499 | METROPOLITAN LIFE INSURANCE COMPANY | $956 | — | $956 | 18.32% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $255 | $54 | $309 | 5.92% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | — | $255 | $255 | 4.89% |
| MISSION EMPLOYER SOLUTIONS3 | 50 SCHENCK PKWY ASHEVILLE, NC 288033499 | METROPOLITAN LIFE INSURANCE COMPANY | $632 | — | $632 | 12.35% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $256 | $55 | $311 | 6.08% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | — | $256 | $256 | 5.00% |
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 | 108 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 31 | $16K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 183 | $79K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 183 | $79K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 183 | $79K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 183 | $79K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 183 | $79K |
| Stop-loss / reinsurancereinsurance | GREAT MIDWEST INSURANCE COMPANY | 130 | $218K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 183 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 183 | — |
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.