Form 5500 · Employee benefit plan · HERNDON, VA
FORFEITURE SUPPORT ASSOCIATES, LLC
FORFEITURE SUPPORT ASSOCIATES, LLC of HERNDON, VA files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is WILLIS TOWERS WATSON SOUTHEAST, INC. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES and 13 other carriers. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 51-0476024 · plan 502 · as of Jul 2026
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Commission |
|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | Health, Dental | 743 | December | $27,004 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 927 | December | $7,010 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 927 | December | $6,123 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 927 | December | $5,628 |
| VISION SERVICE PLAN | Vision | 713 | December | $4,796 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 927 | December | $4,755 |
| KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | Health | 35 | December | $4,423 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | 927 | December | $4,384 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 927 | December | $4,079 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 22 | December | $4,009 |
| KAISER FOUNDATION HEALTH PLAN, INC. | Health | 16 | December | $2,969 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 927 | December | $583 |
| TRIPLE S SALUD, INC. | Health, Dental | 15 | December | $0 |
| HAWAII MEDICAL SERVICE ASSOCIATION | Health | 3 | December | $0 |
Questions
Who is FORFEITURE SUPPORT ASSOCIATES, LLC's benefits broker?
Per its most recent Form 5500 Schedule A, FORFEITURE SUPPORT ASSOCIATES, LLC's broker of record is WILLIS TOWERS WATSON SOUTHEAST, INC.
What insurance carrier does FORFEITURE SUPPORT ASSOCIATES, LLC use?
FORFEITURE SUPPORT ASSOCIATES, LLC's benefit plan is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES, among 14 disclosed carriers.
When does FORFEITURE SUPPORT ASSOCIATES, LLC's group plan renew?
The most recent Schedule A policy period for FORFEITURE SUPPORT ASSOCIATES, LLC ended in December. Group plans typically renew on the same annual cycle.
Where does this data come from?
All figures are drawn from FORFEITURE SUPPORT ASSOCIATES, LLC's public Form 5500 filing with the U.S. Department of Labor (EFAST2). Form 5500 is a public record.