| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BIG BENEFIT CORP3 | 1555 REGAL ROW DALLAS, TX 75247 | PRINCIPAL LIFE INSURANCE COMPANY | $9K | $0 | $9K | 9.86% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $7K | $7K | 8.14% |
| BIG BENEFIT CORP3 | — | EQUITABLE | $6K | $663 | $6K | 16.84% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | — | EQUITABLE | $2K | $185 | $2K | 5.07% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | — | EQUITABLE | $0 | $2K | $2K | 4.07% |
| BIG BENEFIT CORP3 | — | BOON-CHAPMAN | $26K | $0 | $26K | 87.01% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS | — | BOON-CHAPMAN | $8K | $0 | $8K | 26.10% |
| FIRST HEALTH3 | — | BOON-CHAPMAN | $8K | $0 | $8K | 24.89% |
| GIS BENEFITS INC3 Filed as: GIS OF ILLINOIS - MEC | — | BOON-CHAPMAN | $5K | $0 | $5K | 17.40% |
| BIG BENEFIT CORP3 | 12770 MERIT DRIVE SUITE 100 DALLAS, TX 75251 | TELADOC | $1K | $0 | $1K | 37.93% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 BLDG 1 STE 100 AUSTIN, TX 78766 | TELADOC | $0 | $645 | $645 | 17.26% |
| GIS NATIONAL3 | 9500 KROGER AVE STE 200 ST. PETERSBURG, FL 33702 | TELADOC | $645 | $0 | $645 | 17.26% |
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 | 590 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 16 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 606 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BOON-CHAPMAN | 267 | $30K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 228 | $88K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 228 | $88K |
| Life insurance | EQUITABLE | 716 | $37K |
| Short-term disability | EQUITABLE | 716 | $37K |
| Other(2 contracts, 2 carriers) | EQUITABLE | 716 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 716 | — |
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.