| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC. | 80 SO. 8TH ST., STE. 700 MINNEAPOLIS, MN 55402 | HARTFORD LIFE AND ACCIDENT | $16K | — | $16K | 15.00% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC. | 80 SO. 8TH ST. MINNEAPOLIS, MN 55402 | DELTA DENTAL PLAN OF VERMONT, INC. | $4K | — | $4K | 4.39% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICES, LLC | P. O. BOX 1320 CONCORD, NH 033021320 | DELTA DENTAL PLAN OF VERMONT, INC. | $1K | — | $1K | 0.99% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC. | 80 S 8TH STREET MINNEAPOLIS, MN 55402 | VISION SERVICE PLAN | $864 | — | $864 | 6.54% |
| BRISTOL FINANCIAL SERVICES PC3 Filed as: BRISTOL FINANCIAL SERVICES | PO BOX 387 BRISTOL, VT 05443 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $84 | — | $84 | 3.10% |
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 | 219 | 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) | 221 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 7 | $3K |
| Dental | DELTA DENTAL PLAN OF VERMONT, INC. | 220 | $101K |
| Vision | VISION SERVICE PLAN | 101 | $13K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 219 | $109K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 219 | $109K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 219 | $109K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 219 | $112K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 220 | — |
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.