| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | 185 ASYLUM STREET, 25TH FLOOR HARTFORD, CT 061033708 | CONNECTICARE, INC | $98K | $25K | $123K | 4.06% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | 185 ASYLUM STREET, 25TH FLOOR HARTFORD, CT 06103 | UNITED HEALTHCARE INSURANCE COMPANY | $5K | $0 | $5K | 2.77% |
| MAY, BONEE & WALSH3 Filed as: MAY BONEE & CO.,. INC. | 180 GLASTONBURY BLVD. GLASTONBURY, CT 06033 | HARTFORD LIFE & ACCIDENT | $7K | $0 | $7K | 3.64% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT LLC | P.O. BOX 414965 BOSTON, MA 02241 | HARTFORD LIFE & ACCIDENT | $166 | $0 | $166 | 0.09% |
| EDWIN MAY3 | 180 GLASTNBURY BLVD. GLASTONBURY, CT 06033 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 3.67% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT | P.O. BOX 414965 BOSTON, MA 02241 | SUN LIFE ASSURANCE COMPANY OF CANADA | $434 | $0 | $434 | 0.37% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT | 185 ASYLUM STREET, 25TH FLOOR HARTFORD, CT 061033708 | ANTHEM HEALTH PLANS | $362 | $0 | $362 | 1.52% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CONNECTICUT | P.O. BOX 414965 BOSTON, MA 022414965 | EYEMED VISION CARE | $2K | $0 | $2K | 13.14% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE PATHWAYS GROUP EIN 06-0986061 CONSULTANT | Consulting (general); Consulting fees; Contract Administrator Service code 13 | — | $10K |
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 | 340 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 348 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CONNECTICARE, INC | 481 | $3.1M |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 393 | $193K |
| Vision | EYEMED VISION CARE | 220 | $16K |
| Life insurance | HARTFORD LIFE & ACCIDENT | 334 | $181K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 308 | $117K |
| Prescription drug(2 contracts, 2 carriers) | CONNECTICARE, INC | 481 | $3.1M |
| Other | ANTHEM HEALTH PLANS | 4 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 481 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.