| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CRUM HALSTED AGENCY INC3 Filed as: CRUM & FORSTER | — | BOON-CHAPMAN BENEFIT ADMINISTRATORS, INC. | — | $599K | $599K | 95.71% |
| BEVCAP MANAGEMENT LLC3 Filed as: BEVCAP HEALTH CAPTIVE - NC | — | BOON-CHAPMAN BENEFIT ADMINISTRATORS, INC. | — | $22K | $22K | 3.44% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | 9401 AMBERGLEN BLVD, SUITE 100 AUSTIN, TX 78729 | BOON-CHAPMAN BENEFIT ADMINISTRATORS, INC. | — | $9K | $9K | 1.39% |
| FIDUCIARY IN A BOX, INC.3 | — | BOON-CHAPMAN BENEFIT ADMINISTRATORS, INC. | — | $1K | $1K | 0.16% |
| BCI INSURANCE SOLUTIONS, INC.3 Filed as: BCI INSURANCE SOLUTIONS INC | 800 GESSNER RD STE 300 HOUSTON, TX 770244544 | PRINCIPAL LIFE INSURANCE COMPANY | $27K | $9K | $36K | 14.65% |
| CENTRO BENEFITS RESEARCH LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 303395946 | PRINCIPAL LIFE INSURANCE COMPANY | — | $11K | $11K | 4.55% |
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 | 165 | 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) | 165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BOON-CHAPMAN BENEFIT ADMINISTRATORS, INC. | 121 | $626K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 280 | $246K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 280 | $246K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 280 | $246K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 280 | $246K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 280 | $246K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 280 | — |
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.