| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE BOON INSURANCE AGENCY3 Filed as: THE BOON INSURANCE AGENCY INC. | 6300 BRIDGEPOINT PARKWAY BUILDING 3 #500 AUSTIN, TX 78730 | AETNA LIFE INSURANCE COMPANY | $1.2M | — | $1.2M | 17.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AETNA LIFE INSURANCE COMPANY | $8K | — | $8K | 0.50% |
| WINSTON FINANCIAL SERVICE INC.3 | 2399 HIGHWAY 34 BLDG C2 MANASQUAN, NJ 08736 | AETNA LIFE INSURANCE COMPANY | $7K | — | $7K | 0.43% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC. | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | RELIASTAR LIFE INSURANCE COMPANY | $107K | — | $107K | 10.81% |
| THE BOON INSURANCE AGENCY3 | 6300 BRIDGEPOINT PARKWAY BUILDING 3 #500 AUSTIN, TX 78730 | TRANSAMERICA LIFE INSURANCE COMPANY | $13K | — | $13K | 7.91% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COMPANY EIN 36-2739571 NONE | Claims processing Service code 12 | — | $2.4M |
| BOON ADMINISTRATIVE SERVICES EIN 33-0449333 NONE | Contract Administrator; Other insurance fees and expenses; Claims processing Service code 12 | — | $1.5M |
| HOLTZMAN PARTNERS, LLP EIN 74-3121060 NONE | Accounting (including auditing) Service code 10 | — | $11K |
| COMERICA BANK, N.A EIN 42-1741646 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $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 | 4,445 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,453 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 2,155 | $7.2M |
| Vision | AETNA LIFE INSURANCE COMPANY | 2,155 | $7.2M |
| Life insurance | AETNA LIFE INSURANCE COMPANY | 4,519 | $1.6M |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 4,519 | $1.6M |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 3,412 | $986K |
| Other(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 4,519 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,519 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.