| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | 9401 AMBERGLEN BLVD, BLD 1, STE 100 P O BOX 9201 AUSTIN, TX 78729 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 13.84% |
| TEXCA-CONCORD INS SERVICES LP3 | 12404 PARK CENTRAL DR STE 400 N DALLAS, TX 75251 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 6.16% |
| GIS BENEFITS INC3 Filed as: GIS | 422 WAUPONSEE ST MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $832 | $260 | $1K | 4.54% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | 9401 AMBERGLEN BLVD, BLD 1, STE 100 P O BOX 9201 AUSTIN, TX 78729 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 10.38% |
| TEXCAP CONCORD INSURANCE SERVICES3 Filed as: TEXCAP-CONCORD INS SERVICES LP | 12404 PARK CENTRAL DR STE 400 N DALLAS, TX 75251 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $907 | — | $907 | 4.62% |
| GIS BENEFITS INC3 Filed as: GIS | 422 WAUPONSEE ST MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $679 | $182 | $861 | 4.39% |
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 | 281 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 283 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 298 | $24K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 111 | $20K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 298 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 298 | — |
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.