| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M.L. CUTLER & CO., INC.3 | 254 HANOVER ROAD FLORHAM PARK, NJ 07932 | AETNA LIFE INSURANCE COMPANY | $15K | $0 | $15K | 3.35% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 555 PLEASANTVILLE ROAD, STE 160-S BRIARCLIFF MANOR, NY 10510 | AETNA LIFE INSURANCE COMPANY | $7K | $0 | $7K | 1.49% |
| THE BOON INSURANCE AGENCY3 Filed as: THE BOON INSURANCE AGENCY, INC. | 6300 BRIDGEPOINT PARKWAY BUILDING 3, SUITE 500 AUSTIN, TX 78730 | AETNA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 0.67% |
| THE BOON INSURANCE AGENCY3 Filed as: THE BOON INSURANCE AGENCY INC. | 6300 BRIDGEPOINT PARKWAY BUILDING 3, SUITE 500 AUSTIN, TX 78730 | TRANSAMERICA LIFE INSURANCE COMPANY | $992 | $0 | $992 | 13.00% |
| M.L. CUTLER & CO., INC.3 | 25A HANOVER ROAD FLORHAM PARK, NJ 07932 | TRANSAMERICA LIFE INSURANCE COMPANY | $253 | $0 | $253 | 3.32% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 555 PLEASANTVILLE ROAD, STE 160-S BRIARCLIFF MANOR, NY 10510 | TRANSAMERICA LIFE INSURANCE COMPANY | $53 | $0 | $53 | 0.69% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BOON ADMINISTRATIVE SERVICES, INC. EIN 33-0449333 NONE | Float revenue; Claims processing Service code 12 | — | $37K |
| KING SHORES & PRESTON EIN 54-1643141 NONE | Accounting (including auditing) Service code 10 | — | $11K |
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 | 93 | 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) | 93 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 87 | $462K |
| Dental | AETNA LIFE INSURANCE COMPANY | 87 | $462K |
| Vision | AETNA LIFE INSURANCE COMPANY | 87 | $462K |
| Life insurance | TRANSAMERICA LIFE INSURANCE COMPANY | 103 | $8K |
| Other | TRANSAMERICA LIFE INSURANCE COMPANY | 103 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 103 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.