| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BIA BENEFITS CONSULTING LLC3 | 823 CHICKAMAUGA AVE ROSSVILLE, GA 30741 | METROPOLITAN LIFE INSURANCE COMPANY | $32K | $0 | $32K | 14.50% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $2K | $15K | 6.71% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $10K | $10K | 4.68% |
| BIG BENEFIT CORP3 | — | COMBINED INSURANCE | $3K | $0 | $3K | 17.84% |
| GINGER MULLINS & COMPANY INC3 Filed as: GINGER REYNA | — | COMBINED INSURANCE | $2K | $0 | $2K | 15.29% |
| INSPIRED ASSOCIATES3 | — | COMBINED INSURANCE | $2K | $0 | $2K | 15.29% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | — | COMBINED INSURANCE | $1K | $0 | $1K | 9.12% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BIA BENEFITS EIN 20-8266101 AGENT | Insurance agents and brokers Service code 22 | PO BOX 460 ROSSVILLE, GA 30741 | $45K |
| LUCENT HEALTH SOLUTIONS LLC TPA | Claims processing Service code 12 | 5560 W GRANDE MARKET DR APPLETON, WI 54913 | $33K |
| HS TECHNOLOGY SOLUTIONS EIN 27-1818792 OTHER | Other fees Service code 99 | 3857 BIRCH STREET SUITE 586 NEWPORT BEACH, CA 92660 | $20K |
| MEDWATCH EIN 16-1662117 OTHER | Other fees Service code 99 | PO BOX 21796 TAMPA, FL 33630 | $6K |
| HEALTH EOS EIN 39-1634080 PPO CHARGE | Other fees Service code 99 | PO BOX 29380 NEW YORK, NY 10087 | $5K |
| AMERICAN HEALTH CONSULT DOC EIN 31-1368946 OTHER | Other fees Service code 99 | PO BOX 360142 PITTSBURGH, PA 15250 | $4K |
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 | 113 | 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) | 113 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HCC LIFE INSURANCE COMPANY | 108 | $371K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 279 | $218K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 279 | $218K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 279 | $218K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 279 | $218K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 279 | $218K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 108 | $355K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 279 | $218K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 279 | — |
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.