| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CAMBRIA BENEFITS GROUP, LLC3 | 13014 N DALE MABRY HWY STE 808 TAMPA, FL 33618 | METROPOLITAN LIFE INSURANCE COMPANY | $16K | $0 | $16K | 11.38% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $2K | $9K | 6.41% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | P.O. BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $7K | $7K | 4.97% |
| CAMBRIA BENEFITS GROUP, LLC3 | 13014 N DALE MABRY HWY PMB 808 TAMPA, FL 33618 | PRINCIPAL LIFE INSURANCE COMPANY | $9K | $0 | $9K | 12.89% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $6K | $6K | 8.71% |
| CAMBRIA BENEFITS GROUP, LLC3 | 13014 N DALE MABRY HWY STE 808 TAMPA, FL 33618 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 19.54% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $360 | $100 | $460 | 6.24% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS | P.O. BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $360 | $360 | 4.89% |
| CAMBRIA BENEFITS GROUP, LLC3 | 13014 N DALE MABRY HWY STE 808 TAMPA, FL 33618 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 19.77% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $309 | $86 | $395 | 6.31% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | P.O. BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $309 | $309 | 4.94% |
| CAMBRIA BENEFITS GROUP, LLC3 | 13014 N DALE MABRY HWY STE 808 TAMPA, FL 33618 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | — |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $523 | $153 | $676 | — |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | P.O. BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $523 | $523 | — |
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 | 179 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 179 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 58 | $14K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 133 | $140K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 179 | $69K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 179 | $69K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 133 | $140K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 133 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 179 | — |
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.