| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS NL, LLC | 435 N WHITTINGTON PARKWAY SUITE 300 LOUISVILLE, KY 40222 | AETNA LIFE INSURANCE COMPANY | $165K | — | $165K | 6.40% |
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT PARKWAY BUILDING 3 500 AUSTIN, TX 78730 | AETNA LIFE INSURANCE COMPANY | $137K | — | $137K | 5.31% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS NL, LLC | 435 N WHITTINGTON PARKWAY SUITE 300 LOUISVILLE, KY 40222 | TRIPLE S SALUD, INC. | $8K | — | $8K | 5.00% |
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT PARKWAY BUILDING 3 500 AUSTIN, TX 78730 | TRANSAMERICA LIFE INSURANCE COMPANY | $5K | — | $5K | 6.78% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS NL, LLC | 435 N WHITTINGTON PARKWAY SUITE 300 LOUISVILLE, KY 40222 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 4.57% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BOON ADMINISTRATIVE SERVICES EIN 33-0449333 CONTRACTED 3RD PARTY ADM. | Contract Administrator; Other insurance fees and expenses; Claims processing; Direct payment from the plan Service code 12 | 6300 BRIDGEPOINT PARKWAY BUILDING 3 500 AUSTIN, TX 78730 | $75K |
| THE BOON INSURANCE AGENCY EIN 74-2236168 MARKETING AGENT | Insurance brokerage commissions and fees; Accounting (including auditing) Service code 10 | 6300 BRIDGEPOINT PARKWAY BUILDING 3 500 AUSTIN, TX 78730 | $365 |
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 | 949 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 949 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 717 | $2.8M |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 415 | $2.7M |
| Vision | AETNA LIFE INSURANCE COMPANY | 415 | $2.6M |
| Life insurance(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 415 | $2.7M |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 415 | $2.6M |
| Prescription drug(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 415 | $2.7M |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 415 | $2.6M |
| Other(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 415 | $2.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 717 | — |
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."
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.