| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GREENWAY & ASSOCIATES3 | 631 LAKE AVE PUEBLO, CO 81004 | UNITED HEALTHCARE | $4K | $0 | $4K | 0.40% |
| GREENWAY & ASSOCIATES | 631 LAKE AVE PUEBLO, CO 81004 | UNITED HEALTHCARE | — | — | $0 | 0.00% |
| GREENWAY & ASSOCIATES3 Filed as: GREENWAY, DAVID E | 631 LAKE AVE PUEBLO, CO 81004 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $0 | $8K | 10.47% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $3K | $7K | 9.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN, INC | PO BOX 9201 AUSTIN, TX 78766 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $4K | $4K | 5.00% |
| DAVID E. GREENWAY3 Filed as: DAVID E GREENWAY | 631 LAKE AVE PUEBLO, CO 81004 | STARMOUNT LIFE INSURANCE COMPANY | $7K | $0 | $7K | 10.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | STARMOUNT LIFE INSURANCE COMPANY | $3K | $3K | $6K | 9.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN, INC | PO BOX 9201 AUSTIN, TX 78766 | STARMOUNT LIFE INSURANCE COMPANY | $0 | $3K | $3K | 5.00% |
| GREENWAY & ASSOCIATES3 | 631 LAKE AVE PUEBLO, CO 81004 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 15.65% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | 422 WAUPONSEE ST MORRIS, IL 60450 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 9.00% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN | PO BOX 9201 AUSTIN, TX 78766 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $2K | $2K | 5.00% |
| GREENWAY & ASSOCIATES3 | 631 LAKE AVE PUEBLO, CO 81004 | RELIANCE STANDARD | $1K | $0 | $1K | 20.03% |
| GIS BENEFITS INC3 Filed as: GIS NATIONAL | 9500 KROGER AVE ST PETERSBURG, FL 33702 | RELIANCE STANDARD | $369 | $0 | $369 | 6.69% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPAN, INC | PO BOX 9201 AUSTIN, TX 78766 | RELIANCE STANDARD | $0 | $369 | $369 | 6.69% |
| GREENWAY & ASSOCIATES3 | 631 LAKE AVE PUEBLO, CO 81004 | RELIANCE STANDARD | $990 | $0 | $990 | 19.99% |
| GIS BENEFITS INC3 Filed as: GIS NATIONAL | 9500 KROGER AVE ST PETERSBURG, FL 33702 | RELIANCE STANDARD | $330 | $0 | $330 | 6.66% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN INC | PO BOX 9201 AUSTIN, TX 78766 | RELIANCE STANDARD | $0 | $330 | $330 | 6.66% |
| GREENWAY & ASSOCIATES3 | 631 LAKE AVE PUEBLO, CO 81004 | UNUM LIFE INSURANCE COMPANY | $7 | $0 | $7 | 2.49% |
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 | 139 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE | 217 | $940K |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 102 | $69K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 102 | $69K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 142 | $109K |
| Short-term disability(2 contracts) | RELIANCE STANDARD | 41 | $10K |
| Long-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 142 | $79K |
| Other | UNUM LIFE INSURANCE COMPANY | 1 | $281 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 217 | — |
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."
Final-filing indicator set. Plan is winding down; don't waste sales effort here.