| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS RD SUITE 800 CONCORD, CA 94520 | ANTHEM BLUE CROSS AND BLUE SHIELD | $39K | — | $39K | 3.35% |
| GIS BENEFITS INC3 Filed as: GIS BENEFIT INC | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | — | $3K | $3K | 1.36% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS RD STE 800 CONCORD, CA 94520 | METROPOLITAN LIFE INSURANCE COMPANY | — | $993 | $993 | 0.52% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3333 PIEDMONT RD NE STE 1400 ATLANTA, GA 303051760 | METROPOLITAN LIFE INSURANCE COMPANY | — | $49 | $49 | 0.03% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 40 MARCUS DR FLOOR 3 MELVILLE, NY 117474268 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $324 | $3K | 13.26% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | PRINCIPAL LIFE INSURANCE COMPANY | — | $1K | $1K | 5.59% |
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 | 336 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 336 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS AND BLUE SHIELD | 181 | $1.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 422 | $192K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 422 | $192K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 422 | $192K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 422 | $192K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 422 | $214K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 422 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.