| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 101 PARK AVENUE, 12TH FLOOR NEW YORK, NY 10178 | UNITEDHEALTHCARE INSURANCE COMPANY | $57K | $0 | $57K | 2.87% |
| BSB CONSULTANTS, INC.3 | 626 REXCORP PLAZA, 6TH FLOOR UNIONDALE, NY 11556 | UNITEDHEALTHCARE INSURANCE COMPANY | $9K | $0 | $9K | 0.45% |
| ALLIANT INSURANCE SERVICES, INC.3 | 222 BLOOMINGDALE ROAD, SUITE 402 WHITE PLAINS, NY 10605 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $22K | $9K | $32K | 19.14% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $8K | $2K | $10K | 6.32% |
| BSB CONSULTANTS, INC.3 Filed as: BSB CONSULTANTS | 433 PLAZA REAL, SUITE 275 BOCA RATON, FL 33432 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 2.02% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 78766 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $516 | $0 | $516 | 0.31% |
| MARK METTILLE3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $516 | $0 | $516 | 0.31% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | $3K | $16K | 18.01% |
| ALLIANT INSURANCE SERVICES, INC.3 | 5444 WESTHEIMER ROAD, SUITE 900 HOUSTON, TX 77056 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.23% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.15% |
| ALLIANT INSURANCE SERVICES, INC.3 | 101 PARK AVENUE, 12TH FLOOR NEW YORK, NY 10178 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $45 | $45 | 0.05% |
| UNKNOWN3 | 5900 O STREET LINCOLN, NE 68510 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 14.94% |
| GIS BENEFITS INC3 Filed as: GIS NATIONAL | 9500 KOGER AVENUE, SUITE 200 ST. PETERSBURG, FL 33702 | METLIFE LEGAL PLANS | $167 | $0 | $167 | 16.03% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | METLIFE LEGAL PLANS | $107 | $0 | $107 | 10.27% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 78766 | METLIFE LEGAL PLANS | $0 | $72 | $72 | 6.91% |
| BSB CONSULTANTS, INC.3 Filed as: BSB CONSULTANTS | 433 PLAZA REAL, SUITE 275 BOCA RATON, FL 33432 | METLIFE LEGAL PLANS | $35 | $0 | $35 | 3.36% |
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 | 176 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 176 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 153 | $2.0M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 243 | $89K |
| Vision | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | 255 | $11K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 250 | $165K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 250 | $165K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 250 | $165K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 153 | $2.0M |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 250 | $166K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 255 | — |
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.