| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HICKOK & BOARDMAN FINANCIAL3 Filed as: HICKOK & BOARDMAN FIN PLAN&GRP BEN | 346 SHELBURNE RD, 5TH FLOOR PO BOX 1064 BURLINGTON, VT 054021064 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $38K | — | $38K | 11.78% |
| HICKOK & BOARDMAN FINANCIAL3 Filed as: HICKOK & BOARDMAN FIN PLAN&GRP BEN | 346 SHELBURNE RD, 5TH FLOOR PO BOX 1064 BURLINGTON, VT 054021064 | DELTA DENTAL PLAN OF VERMONT, INC | $4K | — | $4K | 5.01% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICES LLC DBA CSONE BEN | PO BOX 1320 CONCORD, NH 033021320 | DELTA DENTAL PLAN OF VERMONT, INC | $611 | — | $611 | 0.84% |
| HICKOK & BOARDMAN FINANCIAL3 Filed as: HICKOK & BOARDMAN FIN PLAN&GRP BEN | 346 SHELBURNE RD, 5TH FLOOR PO BOX 1064 BURLINGTON, VT 054021064 | VISION SERVICE PLAN | $891 | — | $891 | 6.46% |
| HICKOK & BOARDMAN FINANCIAL3 Filed as: HICKOK & BOARDMAN FIN PLAN&GRP BEN | 346 SHELBURNE RD, 5TH FLOOR PO BOX 1064 BURLINGTON, VT 054021064 | PRINCIPAL LIFE INSURANCE COMPANY | $982 | — | $982 | 15.08% |
No Schedule C service providers reported on this filing.
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 | 122 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 133 | $320K |
| Dental | DELTA DENTAL PLAN OF VERMONT, INC | 175 | $73K |
| Vision | VISION SERVICE PLAN | 105 | $14K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 122 | $7K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 133 | $320K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 133 | $320K |
| Other | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 133 | $320K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 175 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.