| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HICKOK & BOARDMAN FINANCIAL3 Filed as: HICKOCK & BOARDMAN EMPLOYEE BENEFIT | 346 SHELBURNE RD. 5TH FLOOR BURLINGTON, VT 05401 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $25K | — | $25K | 8.24% |
| HICKOK & BOARDMAN FINANCIAL3 Filed as: HICKOK & BOARDMAN FIN PLAN | 346 SHELBURNE RD. PO BOX 1064 BURLINGTON, VT 05401 | DELTA DENTAL | $4K | — | $4K | 5.30% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, NH 03302 | DELTA DENTAL | $953 | — | $953 | 1.22% |
| HICKOK & BOARDMAN FINANCIAL3 Filed as: HICKOK & BOARDMAN EMPLOYEE BENEFITS | 346 SHELBURNE RD. 5TH FLOOR BURLINGTON, VT 05401 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 12.71% |
| HICKOK & BOARDMAN FINANCIAL3 Filed as: HICKOCK AND BOARDMAN FINANCIAL | PO BOX 1064 BURLINGTON, VT 05402 | VISION SERVICE PLAN | $1K | — | $1K | 5.83% |
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 | 117 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 152 | $303K |
| Dental | DELTA DENTAL | 226 | $78K |
| Vision | VISION SERVICE PLAN | 100 | $17K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 160 | $27K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 160 | $27K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 160 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 226 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.