| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMCORP3 Filed as: AMCORP INSURANCE FINANCIAL SERVICES | 3519 PAESANOS PKWY SUITE 106 SAN ANTONIO, TX 78231 | BLUE CROSS BLUE SHIELD OF TEXAS | $27K | — | $27K | 2.92% |
| FIDELITY HEALTH INSURANCE SERVICES3 Filed as: FIDELITY HEALTH INSURANCE SERV. LLC | 200 SEAPORT BLVD BOSTON, MA 02210 | BLUE CROSS BLUE SHIELD OF TEXAS | $19K | — | $19K | 2.06% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | P.O.BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $2K | $10K | 9.01% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $1K | $3K | 2.94% |
| FIDELITY HEALTH INSURANCE SERVICES3 | 200 SEAPORT BLVD MAIL ZONE V2B BOSTON, MA 02210 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $976 | $3K | 2.26% |
| AMCORP3 Filed as: AMCORP INSURANCE FINANCIAL SERVICES | 3519 PAESANOS PARKWAY SUITE 106 SAN ANTONIO, TX 78231 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $736 | $2K | 2.10% |
| AMCORP3 Filed as: AMCORP INSURANCE | 3519 PAESANOS PKWY, SUITE 106 SAN ANTONIO, TX 78321 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $901 | — | $901 | 6.26% |
| FIDELITY HEALTH INSURANCE SERVICES3 Filed as: FIDELITY HEALTH MARKETPLACE | 200 SEAPORT BLVD BOSTON, MA 02211 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $539 | — | $539 | 3.74% |
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 | 229 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 232 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TEXAS | 229 | $915K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 435 | $115K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 204 | $14K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 435 | $115K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 435 | $115K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 435 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 435 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.