| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOUDOUN INSURANCE GROUP3 | 5 WIRT STREET SW, STE 300 LEESBURG, VA 20175 | AETNA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 4.99% |
| OSPREY CONTRACTOR CONSULTING3 | 63 INTERLAKEN ORLANDO, FL 32804 | AETNA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 1.47% |
| THE BOON INSURANCE AGENCY3 Filed as: THE BOON INSURANCE AGENCY INC. | 6300 BRIDGEPOINT PKWY, BLDG 3 AUSTIN, TX 78730 | TRANSAMERICA LIFE INSURANCE COMPANY | $160 | $0 | $160 | 6.64% |
| LOUDOUN INSURANCE GROUP3 | 5 WIRT STREET SW, STE 300 LEESBURG, VA 20175 | TRANSAMERICA LIFE INSURANCE COMPANY | $89 | $0 | $89 | 3.70% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BOON ADMINISTRATIVE SERVICES EIN 33-0449333 NONE | Float revenue; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $18K |
| KING SHORES & PRESTON EIN 54-1643141 NONE | Accounting (including auditing) Service code 10 | — | $12K |
| BOON ADMINSTRATIVE SERVICES, INC. | Contract Administrator; Claims processing; Other insurance fees and expenses Service code 12 | — | $3K |
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 | 308 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 309 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 31 | $187K |
| Life insurance | TRANSAMERICA LIFE INSURANCE COMPANY | 33 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 33 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.