| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT PARKWAY AUSTIN, TX 78730 | AETNA LIFE INSURANCE COMPANY | $11K | — | $11K | 6.00% |
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT AGENCY AUSTIN, TX 78730 | TRANSAMERICA LIFE INSURANCE COMPANY | $10K | — | $10K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BOON ADMINISTRATIVE SERVICES EIN 33-0449333 NONE | Other insurance fees and expenses; Claims processing; Contract Administrator Service code 12 | 6300 BRIDGEPOINT PARKWAY BUILDING 3, SUITE 200 AUSTIN, TX 78730 | $25K |
| BPAS EIN 16-1065416 NONE | Participant communication; Account maintenance fees; Actuarial; Recordkeeping fees; Custodial (securities); Other services; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 11 | 820 GESSNER ROAD SUITE 1250 HOUSTON, TN 77024 | $14K |
| BOON ADMINISTRATIVE SERVICES, INC. | Contract Administrator; Other insurance fees and expenses; Claims processing Service code 12 | — | $11K |
| COMERICA BANK EIN 38-1998421 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $2K |
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 | 106 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 287 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 393 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 106 | $186K |
| Dental | AETNA LIFE INSURANCE COMPANY | 106 | $186K |
| Vision | AETNA LIFE INSURANCE COMPANY | 106 | $186K |
| Life insurance | TRANSAMERICA LIFE INSURANCE COMPANY | 124 | $101K |
| Other | TRANSAMERICA LIFE INSURANCE COMPANY | 124 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 124 | — |
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.