| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FORTIS INSURANCE ASSOCS LLC3 Filed as: FORTIS INSURANCE ASSOCIATES LLC | 1116 LAUREL RD TOWNSEND, TN 378823610 | METROPOLITAN LIFE INSURANCE COMPANY | $22K | $2K | $24K | 12.37% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $4K | $13K | 6.42% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON CHAPMAN BENEFITS ADMINISTRATOR | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $7K | $7K | 3.69% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP, LLC | 18700 N. HAYDEN ROAD SUITE 405 SCOTTSDALE, AZ 85255 | PAN-AMERICAN LIFE INSURANCE COMPANY | $7K | $0 | $7K | 7.00% |
| FORTIS INSURANCE ASSOCS LLC3 Filed as: FORTIS INSURANCE ASSOCIATES LLC | 1116 LAUREL RD TOWNSEND, TN 378823610 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 18.54% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $351 | $140 | $491 | 6.49% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $351 | $351 | 4.64% |
| FORTIS INSURANCE ASSOCS LLC3 Filed as: FORTIS INSURANCE ASSOCIATES LLC | 1116 LAUREL RD TOWNSEND, TN 378823610 | METROPOLITAN LIFE INSURANCE COMPANY | $682 | $0 | $682 | 18.38% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $171 | $68 | $239 | 6.44% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $171 | $171 | 4.61% |
| FORTIS INSURANCE ASSOCS LLC3 Filed as: FORTIS INSURANCE ASSOCIATES LLC | 1116 LAUREL RD TOWNSEND, TN 378823610 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $313 | $0 | $313 | 9.22% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $156 | $63 | $219 | 6.45% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $0 | $156 | $156 | 4.59% |
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 | 170 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 172 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 33 | $11K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 301 | $198K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 0 | $0 |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 301 | $195K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 301 | $195K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 301 | $195K |
| Stop-loss / reinsurancereinsurance | PAN-AMERICAN LIFE INSURANCE COMPANY | 137 | $107K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 301 | $195K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 301 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.