| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TONY REA | 2 CENTERPOINTE DRIVE SUITE 515 LAKE OSWEGO, OR 97035 | KAISER FOUNDATION HEALTH PLAN REGION NW | $50K | $1K | $51K | 3.07% |
| ANTHONY REA3 | 2 CENTERPOINTE DRIVE SUITE 515 LAKE OSWEGO, OR 970358618 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $0 | $14K | 15.37% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $0 | $5K | 5.12% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $5K | $5K | 5.12% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.60% |
| DESSO FORMAN3 | 28059 US HIGHWAY 19N SUITE 201 CLEARWATER, FL 337612620 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 9.00% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $623 | $0 | $623 | 5.39% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $623 | $623 | 5.39% |
| ANTHONY REA3 | 2 CENTERPOINTE DRIVE SUITE 515 LAKE OSWEGO, OR 97035 | METROPOLITAN LIFE INSURANCE COMPANY | $446 | $0 | $446 | 3.86% |
| GIS BENEFITS INC3 Filed as: GIS BENEIFTS INC | 422 WAUPONSEE ST 2 CENTERPOINTE DRIVE MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $178 | $178 | 1.54% |
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 | 351 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 353 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN REGION NW | 243 | $1.7M |
| Vision | KAISER FOUNDATION HEALTH PLAN REGION NW | 243 | $1.7M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 491 | $89K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 491 | $89K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 491 | $89K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN REGION NW | 243 | $1.7M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 491 | $89K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 491 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.