| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| C M SMITH AGENCY, INC.3 Filed as: C.M. SMITH AGENCY INC. | 100 PEARL ST FL 3 HARTFORD, CT 061034510 | KAISER FOUNDATION HEALTH PLAN INC. | $60K | — | $60K | 2.63% |
| C M SMITH AGENCY, INC.3 Filed as: C.M. SMITH AGENCY INC. | 100 PEARL STREET HARTFORD, CT 06103 | AETNA INTERNATIONAL | $90K | — | $90K | 4.82% |
| C M SMITH AGENCY, INC.3 Filed as: C.M. SMITH AGENCY, INC | 100 PEARL STREET THIRD FLOOR - WEST TOWER HARTFORD, CT 06103 | TRIPLE S SALUD, INC. | $85K | — | $85K | 9.80% |
| C M SMITH AGENCY, INC.3 Filed as: C. M. SMITH AGENCY INC. | PO BOX 577 GLASTONBURY, CT 06033 | HARTFORD LIFE AND ACCIDENT | $12K | — | $12K | 1.42% |
| C M SMITH AGENCY, INC.3 Filed as: C.M. SMITH AGENCY, INC. | 100 PEARL ST FL 3 HARTFORD, CT 061034510 | VISION SERVICE PLAN | $5K | — | $5K | 1.93% |
| C M SMITH AGENCY, INC.3 Filed as: C. M. SMITH AGENCY INC. | 100 PEARL STREET 3RD FL WEST TOWER HARTFORD, CT 06103 | HARTFORD LIFE AND ACCIDENT | $25K | — | $25K | 15.00% |
| C M SMITH AGENCY, INC.3 Filed as: C.M. SMITH AGENCY INC - BOR | 100 PEARL ST. 3RD FL. WEST TOWER HARTFORD, CT 06103 | EYEMED VISION CARE | $510 | — | $510 | 1.98% |
| C M SMITH AGENCY, INC.3 Filed as: CM SMITH AGENCY INC | PO BOX 577 GLASTONBURY, CT 06033 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 11.32% |
| C M SMITH AGENCY, INC.3 Filed as: C. M. SMITH AGENCY INC. | PO BOX 577 GLASTONBURY, CT 06033 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 15.05% |
| C M SMITH AGENCY, INC.3 Filed as: CM SMITH AGENCY, INC | 100 PEARL STREET 3RD FL WEST TOWER HARTFORD, CT 06103 | HARTFORD LIFE AND ACCIDENT | $588 | — | $588 | 15.01% |
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 | 1,644 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 616 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 72 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,332 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 382 | $5.0M |
| Dental(3 contracts, 3 carriers) | AETNA INTERNATIONAL | 108 | $2.8M |
| Vision(3 contracts, 3 carriers) | AETNA INTERNATIONAL | 1,368 | $2.1M |
| Life insurance(5 contracts, 3 carriers) | AETNA INTERNATIONAL | 2,316 | $3.0M |
| Short-term disability(3 contracts) | HARTFORD LIFE AND ACCIDENT | 2,316 | $844K |
| Long-term disability(2 contracts) | HARTFORD LIFE AND ACCIDENT | 2,316 | $827K |
| Prescription drug(2 contracts, 2 carriers) | AETNA INTERNATIONAL | 79 | $2.7M |
| Other(4 contracts, 3 carriers) | AETNA INTERNATIONAL | 1,644 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,316 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.