| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BIG BENEFIT CORP3 | 12655 N CENTRAL EXPY STE 810 DALLAS, TX 75243 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $683 | $7K | 11.26% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $3K | $5K | 9.02% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 STE 200 AUSTIN, TX 78766 | BOON-CHAPMAN | $18K | $5K | $22K | 86.84% |
| BIG BENEFIT CORP3 | 12655 NORTH CENTRAL EXPRESSWAY SUITE 810 DALLAS, TX 75243 | BOON-CHAPMAN | $21K | $0 | $21K | 80.41% |
| GIS NATIONAL3 | 9500 KOGER AVE STE 200 ST. PETERSBURG, FL 33702 | BOON-CHAPMAN | $8K | $0 | $8K | 31.19% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GIS BENEFITS BROKER | Insurance agents and brokers Service code 22 | 3525 PIEDMONT ROAD NE BLD 8, STE 205 ATLANTA, GA 30305 | $25K |
| BOON-CHAPMAN EIN 75-1501015 MEDICAL ADMINISTRATION | Contract Administrator Service code 13 | — | $13K |
| FIRST HEALTH EIN 20-1736437 NETWORK ACCESS | Other services Service code 49 | — | $5K |
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 | 343 | 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) | 343 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 150 | $61K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 150 | $61K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 156 | $86K |
| Other | BOON-CHAPMAN | 156 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 156 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.