| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETTE, LA 70503 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 4.99% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 AUSTIN, TX 78766 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 3.01% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETTE, LA 70503 | STANDARD INSURANCE COMPANY | $117 | — | $117 | 0.25% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETTE, LA 70503 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 14.99% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 5.02% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 AUSTIN, TX 78766 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 5.02% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETTE, LA 70503 | STANDARD INSURANCE COMPANY | $437 | — | $437 | 1.67% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETE, LA 70503 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 AUSTIN, TX 78766 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETE, LA 70503 | STANDARD INSURANCE COMPANY | $363 | — | $363 | 1.57% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETTE, LA 70503 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 AUSTIN, TX 78766 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETTE, LA 70503 | STANDARD INSURANCE COMPANY | $348 | — | $348 | 1.56% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETTE, LA 70503 | STANDARD INSURANCE COMPANY | $12K | — | $12K | 67.99% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | STANDARD INSURANCE COMPANY | $865 | — | $865 | 5.01% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 AUSTIN, TX 78766 | STANDARD INSURANCE COMPANY | — | $865 | $865 | 5.01% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETTE, LA 70503 | STANDARD INSURANCE COMPANY | $258 | — | $258 | 1.49% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETTE, LA 70503 | STANDARD INSURANCE COMPANY | $877 | — | $877 | 9.99% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | STANDARD INSURANCE COMPANY | $438 | — | $438 | 4.99% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 AUSTIN, TX 78766 | STANDARD INSURANCE COMPANY | — | $438 | $438 | 4.99% |
| ASSUREDPARTNERS3 Filed as: DWIGHT ANDRUS INSURANCE INC | 500 DOVER BLVD LAFAYETTE, LA 70503 | STANDARD INSURANCE COMPANY | $50 | — | $50 | 0.57% |
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 | 164 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | STANDARD INSURANCE COMPANY | 83 | $47K |
| Vision | STANDARD INSURANCE COMPANY | 77 | $9K |
| Life insurance | STANDARD INSURANCE COMPANY | 151 | $26K |
| Short-term disability | STANDARD INSURANCE COMPANY | 52 | $22K |
| Long-term disability | STANDARD INSURANCE COMPANY | 36 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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.