| 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 | $0 | $6K | 10.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $2K | $4K | 7.17% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $1K | $1K | 2.18% |
| BIG BENEFIT CORP3 | 12655 NORTH CENTRAL EXPRESSWAY SUITE 810 DALLAS, TX 75243 | EQUITABLE | $5K | $436 | $5K | 16.50% |
| GIS NATIONAL3 | 422 WAUPONSEE STREET MORRIS, IL 60450 | EQUITABLE | $941 | $1K | $2K | 6.49% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201, BLDG 1 STE 100 AUSTIN, TX 78766 | EQUITABLE | $0 | $1K | $1K | 4.06% |
| BIG BENEFIT CORP3 | 12655 NORTH CENTRAL EXPRESSWAY SUITE 100 DALLAS, TX 75243 | TELADOC | $871 | $0 | $871 | 22.01% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201, BLDG I SUITE 100 AUSTIN, TX 78766 | TELADOC | $0 | $396 | $396 | 10.01% |
| GIS BENEFITS INC3 Filed as: GIS | 9500 KOGER AVE STE 200 ST. PETERSBURG, FL 33702 | TELADOC | $396 | $0 | $396 | 10.01% |
| 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 74-2305238 MEDICAL ADMINISTRATION | Contract Administrator Service code 13 | — | $19K |
| 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 | 337 | 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) | 337 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 161 | $57K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 161 | $57K |
| Life insurance | EQUITABLE | 337 | $30K |
| Short-term disability | EQUITABLE | 337 | $30K |
| Other | TELADOC | 146 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 337 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.