| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 11325 NORTH COMMUNITY HOU SUITE 170 CHARLOTTE, NC 28277 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $56K | — | $56K | 6.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH 8TH STREET, SUITE 700 MINNEAPOLIS, MN 55402 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $30K | — | $30K | 7.36% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 11325 NORTH COMMUNITY HOU SUITE 170 CHARLOTTE, NC 28277 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 10.00% |
| NATIONAL GROUP PROTECTION INC4 | 1445 GREENBRIAR PLACE CHARLOTTESVILLE, VA 22901 | RELIASTAR LIFE INSURANCE COMPANY | $843 | — | $843 | 3.60% |
| MARSH & MCLENNAN AGENCY LLC4 Filed as: KINLOCH CONSULTING GROUP INC | 25 MELVILLE PARK RD STE 260 MELVILLE, NY 11747 | RELIASTAR LIFE INSURANCE COMPANY | $562 | — | $562 | 2.40% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 | Claims processing; Direct payment from the plan; Float revenue; Other fees Service code 12 | — | $1.6M |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 | Named fiduciary; Contract Administrator; Direct payment from the plan; Claims processing; Non-monetary compensation; Other services; Float revenue; Participant communication Service code 12 | — | $78K |
| BUCHBINDER TUNICK & CO LLP EIN 13-1578842 | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $26K |
| BASIL CASTROVINCI ASSOCIATES INC EIN 13-2831500 | Actuarial; Direct payment from the plan Service code 11 | — | $8K |
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 | 413 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 141 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 554 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 554 | $407K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 554 | $407K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 215 | $952K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 285 | $87K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 610 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 610 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.