BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

Forfeiture Support Associates, LLC

Administrative & support services · Herndon, Virginia · EIN ending 6024

Updated Filing received by DOL

Forfeiture Support Associates, LLC, an administrative & support services employer in Herndon, Virginia, reported 967 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows $84,272 in insurance premiums across 14 contracts and $177,997 in broker commissions and fees. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on September 17, 2025, within the extension window.

Participants
967
+3.9% vs 2023
Premiums filed
$84,272
premium not reported on 4 medical contracts
Broker commissions + fees
$177,997
+14.3% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Forfeiture Support Associates, LLC's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Forfeiture Support Associates, LLC filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Willis Towers Watson · Newark, NJ$75,763$102,234$177,99717

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Triple S Salud, Inc.health, dental, prescription drug15$84,272——
Hawaii Medical Service Associationhealth3———
Cigna Health and Life Insurance Company and Affiliateshealth, dental, prescription drug, indemnity743—$118,317—
Vision Service Planvision713—$4,796—
Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.health, prescription drug, HMO35—$8,843—
Kaiser Foundation Health Plan, Inc.health, prescription drug, HMO22—$4,009—
Cigna Health and Life Insurance Companycoverage not coded927—$4,755—
Cigna Health and Life Insurance Companycoverage not coded927—$4,384—
Cigna Health and Life Insurance Companycoverage not coded927—$7,010—
Life Insurance Company of North Americashort-term disability927—$7,859—
Kaiser Foundation Health Plan, Inc.health, prescription drug, HMO16—$2,969—
Life Insurance Company of North Americalife927—$8,583—
Life Insurance Company of North Americacoverage not coded927—$814—
Life Insurance Company of North Americalong-term disability927—$5,658—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Forfeiture Support Associates, LLC compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Forfeiture Support Associates, LLC
$177,997
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Premium per covered person on medical contracts: $5,618 a year (national median $7,274).

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$75,893$84,272Premiums$155,716$177,997Broker pay20232024
Forfeiture Support Associates, LLC: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants931967+3.9%
Premiums filed$75,893$84,272not comparable
Broker commissions + fees$155,716$177,997+14.3%
Commission rate———

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Forfeiture Support Associates, LLC Welfare Plan#502 · insurance, general assets, trustDecember 31, 2024September 17, 2025within extension967

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Forfeiture Support Associates, LLC pay in health insurance broker commissions in 2024?

Forfeiture Support Associates, LLC's 2024 Form 5500 reports $177,997 in broker commissions and fees across 14 insurance contracts ($75,763 in commissions, $102,234 in fees), with Willis Towers Watson receiving the largest share.

Is Forfeiture Support Associates, LLC's health plan self-funded or fully insured?

The 2024 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by Triple S Salud, Inc., Hawaii Medical Service Association, Cigna Health and Life Insurance Company and Affiliates.

How does Forfeiture Support Associates, LLC's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Forfeiture Support Associates, LLC because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 500-999 participants that disclosed broker pay reported a median of $104,902.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.