| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRIS CAVENESS3 | 5051 TWELVE OCLOCK KNOB ROAD ROANOKE, VA 24018 | AETNA LIFE INSURANCE COMPANY | $99K | — | $99K | 4.16% |
| THE BOON INSURANCE AGENCY3 Filed as: THE BOON INSURANCE AGENCY, INC. | 6300 BRIDGEPOINT PARKWAY BUILDING 3 500 AUSTIN, TX 78730 | AETNA LIFE INSURANCE COMPANY | $32K | — | $32K | 1.34% |
| THE BOON INSURANCE AGENCY3 Filed as: THE BOON INSURANCE AGENCY, INC. | 6300 BRIDGEPOINT PARKWAY BUILDING 3 500 AUSTIN, TX 78730 | TRANSAMERICA LIFE INSURANCE COMPANY | $6K | — | $6K | 17.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BOON ADMINISTRATIVE SERVICES, INC. EIN 33-0449333 THIRD PARTY ADMINISTRATOR | Direct payment from the plan; Claims processing; Contract Administrator; Insurance services; Float revenue Service code 12 | 6300 BRIDGEPOINT PARKWAY BUILDING 3 500 AUSTIN, TX 78730 | $30K |
| KING, SHORES & PRESTON CPAS EIN 54-1643141 AUDITOR | Accounting (including auditing) Service code 10 | 2707 BRAMBLETON AVENUE ROANOKE, VA 24015 | $10K |
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 | 596 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 479 | $2.4M |
| Dental | AETNA LIFE INSURANCE COMPANY | 479 | $2.4M |
| Vision | AETNA LIFE INSURANCE COMPANY | 479 | $2.4M |
| Life insurance | TRANSAMERICA LIFE INSURANCE COMPANY | 598 | $33K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 479 | $2.4M |
| Other | TRANSAMERICA LIFE INSURANCE COMPANY | 598 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 598 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.