| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $3K | $12K | 5.83% |
| LIBERTY BENEFITS GROUP LLC3 | 17610 WOODINVILLE SNOHOMISH RD NE PO BOX 691 WOODINVILLE, WA 98072 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 2.33% |
| LIBERTY BENEFITS GROUP LLC3 | 17610 WOODINVILLE SNOHOMISH RD NE PO BOX 691 WOODINVILLE, WA 98072 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 11.53% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $627 | $2K | 5.92% |
| LIBERTY BENEFITS GROUP LLC3 | 17610 WOODINVILLE SNOHOMISH RD NE PO BOX 691 WOODINVILLE, WA 98072 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 11.54% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $449 | $2K | 5.92% |
| LIBERTY BENEFITS GROUP LLC3 | 17610 WOODINVILLE SNOHOMISH RD NE PO BOX 691 WOODINVILLE, WA 98072 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 6.18% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $827 | $331 | $1K | 5.94% |
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 | 178 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 178 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUESHIELD | 151 | $1.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 299 | $208K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 299 | $208K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 299 | $208K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 299 | $208K |
| Other(4 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 299 | $291K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 299 | — |
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.