| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CAMBRIDGE LIFE BROKERAGE LLC3 | 875 AVENUE OF THE AMERICAS 350 FIFTH AVENUE, SUITE 3700 NEW YORK, NY 10001 | EMPIRE HEALTHCHOICE ASSURANCE INC. | $78K | — | $78K | 3.34% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN BENEFIT ADMIN | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $31K | $6K | $38K | 18.01% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.09% |
| CAMBRIDGE LIFE BROKERAGE LLC3 | 875 AVENUE OF THE AMERICAS 350 FIFTH AVENUE, SUITE 3700 NEW YORK, NY 10001 | METROPOLITAN LIFE INSURANCE COMPANY | — | $22 | $22 | 0.01% |
| CAMBRIDGE LIFE BROKERAGE LLC3 | 875 AVENUE OF THE AMERICAS 350 FIFTH AVENUE, SUITE 3700 NEW YORK, NY 10001 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $6K | — | $6K | 15.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $2K | — | $2K | 5.00% |
| CAMBRIDGE LIFE BROKERAGE LLC3 | 875 AVENUE OF THE AMERICAS 350 FIFTH AVENUE, SUITE 3700 NEW YORK, NY 10001 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $6K | — | $6K | 15.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $2K | — | $2K | 5.00% |
| CAMBRIDGE LIFE BROKERAGE LLC3 | 875 AVENUE OF THE AMERICAS 350 FIFTH AVENUE, SUITE 3700 NEW YORK, NY 10001 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $1K | — | $1K | 15.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $47 | — | $47 | 0.49% |
| CAMBRIDGE LIFE BROKERAGE LLC3 | 875 AVENUE OF THE AMERICAS 350 FIFTH AVENUE, SUITE 3700 NEW YORK, NY 10001 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $808 | — | $808 | 15.01% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $269 | — | $269 | 5.00% |
| CAMBRIDGE LIFE BROKERAGE LLC3 | 875 AVENUE OF THE AMERICAS 350 FIFTH AVENUE, SUITE 3700 NEW YORK, NY 10001 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $213 | — | $213 | 15.01% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $71 | — | $71 | 5.00% |
| CAMBRIDGE LIFE BROKERAGE LLC3 | 875 AVENUE OF THE AMERICAS 350 FIFTH AVENUE, SUITE 3700 NEW YORK, NY 10001 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $148 | — | $148 | 14.98% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | FIRST RELIANCE STANDARD LIFE INS COMPANY | $49 | — | $49 | 4.96% |
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 | 250 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | EMPIRE HEALTHCHOICE ASSURANCE INC. | 413 | $2.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 367 | $209K |
| Vision | EMPIRE HEALTHCHOICE ASSURANCE INC. | 413 | $2.3M |
| Life insurance(2 contracts) | FIRST RELIANCE STANDARD LIFE INS COMPANY | 193 | $15K |
| Other(4 contracts) | FIRST RELIANCE STANDARD LIFE INS COMPANY | 193 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 413 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.