Broker book
Boone-Chapman Benefit Administrator
Po Box 9201, Austin, TX 78766
Plan year 2022
1 employer · 39 enrolled · Direct (A) $6,549 · Additional (C) $0
Employers
Plan year 2022
Groups named on this party’s Form 5500 rows for the selected plan year.
| Employer | Coverage | Carrier | Enrolled | Direct (A) | Additional (C) |
|---|---|---|---|---|---|
| K & W Tire Company, Inc. | Dental | Metropolitan Life Insurance Company | 39 | $6,549 · 20.1% | — |
About these columns
Direct (A) — Carrier-contract commissions from Schedule A. Not averaged with Schedule C.
Additional (C) — Plan-paid amounts from Schedule C. Shown as total and $ / enrolled / year.