| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BIA BENEFITS CONSULTING LLC3 | 823 CHICKAMAUGA AVE ROSSVILLE, GA 30741 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $0 | $14K | 10.32% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $2K | $8K | 5.80% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $5K | $5K | 3.83% |
| BIG BENEFIT CORP3 | — | COMBINED INSURANCE | $1K | — | $1K | 21.42% |
| GINGER MULLINS & COMPANY INC3 Filed as: GINGER REYNA | — | COMBINED INSURANCE | $1K | — | $1K | 18.36% |
| INSPIRED ASSOCIATES3 | — | COMBINED INSURANCE | $1K | — | $1K | 18.36% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | — | COMBINED INSURANCE | $593 | — | $593 | 10.42% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BIA BENEFITS EIN 20-8266101 AGENT | Custodial (securities) Service code 19 | 325 CHEROKEE BLVD SUITE 201 CHATTANOOGA, TN 37405 | $22K |
| CYPRESS BENEFIT ADMINISTRATORS LLC EIN 39-1997579 TPA | Claims processing Service code 12 | 8725 ALAMEDA PARK ALBUQUERQUE, NM 87113 | $17K |
| HST TECHNOLOGY SOLUTIONS EIN 27-1818792 OTHER | Other fees Service code 99 | 3857 BIRCH STREET SUITE 586 NEWPORT BEACH, CA 92660 | $9K |
| MEDWATCH EIN 16-1662117 OTHER | Other fees Service code 99 | PO BOX 21796 TAMPA, FL 33630 | $3K |
| HEALTH EOS EIN 39-1634080 OTHER | Other fees Service code 99 | PO BOX 29380 NEW YORK, NY 10087 | $3K |
| AMERICAN HEALTH CONSULT DOC EIN 31-1368946 OTHER | Other fees Service code 99 | PO BOX 360142 PITTSBURGH, PA 15250 | $2K |
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 | 115 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HCC LIFE INSURANCE COMPANY | 110 | $163K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 418 | $131K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 418 | $131K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 418 | $131K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 418 | $131K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 418 | $131K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 110 | $158K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 418 | $131K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 418 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.