| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRISTIAN BERGSTROM3 | 300 1ST AVE S FL 5 ST. PETERSBURG, FL 33701 | ALL SAVERS INSURANCE COMPANY | $43K | — | $43K | 15.17% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH, & WILLINGHAM INC | PO BOX 33020 SAINT PETERSBURG, FL 33733 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $20 | $11K | 12.61% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $1K | $5K | 6.43% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4K | $4K | 5.23% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH, & WILLINGHAM INC | 300 1ST AVE SOUTH 5TH FLOOR ST. PETERSBURG, FL 33701 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $638 | $103 | $741 | 5.81% |
| WALLACE WELCH & WILLINGHAM INC3 | PO BOX 33020 SAINT PETERSBURG, FL 33733 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $20 | $1K | 20.08% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $358 | $80 | $438 | 6.06% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $358 | $358 | 4.95% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH, & WILLINGHAM INC | PO BOX 33020 SAINT PETERSBURG, FL 33733 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $20 | $2K | 21.28% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $375 | $86 | $461 | 6.45% |
| BOOM CHAPMAN BENEFIT ADMNISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $375 | $375 | 5.25% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH, & WILLINGHAM INC | 300 1ST AVE S 5TH FLOOR ST. PETERSBURG, FL 33701 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $861 | — | $861 | 15.01% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $287 | $42 | $329 | 5.73% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH, & WILLINGHAM INC | PO BOX 33020 SAINT PETERSBURG, FL 33733 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $20 | $1K | 20.83% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $259 | $59 | $318 | 6.26% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $259 | $259 | 5.10% |
| WALLACE WELCH & WILLINGHAM INC3 Filed as: WALLACE, WELCH, & WILLINGHAM INC | PO BOX 33020 SAINT PETERSBURG, FL 33733 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $20 | $1K | 20.31% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $250 | $57 | $307 | 6.10% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | — | $250 | $250 | 4.97% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVCIES, INC. EIN 41-1289245 CLAIMS PROCESSING | Claims processing Service code 12 | — | $67K |
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 | 194 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 194 | $85K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 194 | $85K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 194 | $85K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 25 | $13K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 109 | $6K |
| Other(7 contracts, 3 carriers) | ALL SAVERS INSURANCE COMPANY | 194 | $407K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 194 | — |
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.