No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BOON ADMINISTRATIVE SERVICES EIN 33-0449933 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | 6300 BRIDGEPOINT PKWY BUILDING3, SUITE 500 AUSTIN, TX 78730 | $8K |
| THE BOON INSURANCE AGENCY EIN 74-2236168 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 6300 BRIDGEPOINT PKWY BUILDING3, SUITE 500 AUSTIN, TX 78730 | $6K |
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 | 86 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 86 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GUARDIAN DENTAL INS | 54 | $26K |
| Stop-loss / reinsurancereinsurance | GERBER STOP LOSS PLOICY | 86 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 86 | — |
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."
No prospect flags tripped on this filing.