| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 | 80 SOUTH 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | CIGNA HEALTH & LIFE INSURANCE COMPANY | $6K | $38K | $44K | 3.17% |
| HAYS COMPANIES, INC.3 | 80 SOUTH 8TH STREET SUITE 700 MINNEAPOLIS, MA 55402 | CIGNA HEALTH & LIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.15% |
| HAYS COMPANIES, INC.3 | 800 SOUTH 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | HARTFORD LIFE AND ACCIDENT | $11K | — | $11K | 9.28% |
| INDIGO INSURANCE SVC3 Filed as: INDIGO INSURANCE SERVICE LLC | 446 MAIN STREET 5TH FLOOR WORCESTER, MA 01608 | HARTFORD LIFE AND ACCIDENT | $0 | $616 | $616 | 0.50% |
| CLARK & LAVEY BENEFIT SOLUTIONS3 Filed as: CLARK & LAVEY BEN SOL INC | 7 HENRY CLAY DRIVE MERRIMACK, NH 03054 | HARTFORD LIFE AND ACCIDENT | $198 | — | $198 | 0.16% |
| HAYS COMPANIES, INC.3 | 80 SOUTH 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 13.73% |
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. |
| 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH & LIFE INSURANCE COMPANY | 171 | $1.4M |
| Dental | CIGNA HEALTH & LIFE INSURANCE COMPANY | 171 | $1.4M |
| Vision(2 contracts, 2 carriers) | CIGNA HEALTH & LIFE INSURANCE COMPANY | 171 | $1.4M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 117 | $123K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 117 | $123K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 117 | $123K |
| Other | HARTFORD LIFE AND ACCIDENT | 117 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 171 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.