| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.7 Filed as: HAYS COMPANIES | 133 FEDERAL ST 2ND FL BOSTON, MA 02110 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $61K | — | $61K | 6.02% |
| HAYS COMPANIES, INC.7 Filed as: HAYS COMPANIES | 133 FEDERAL ST 2ND FL BOSTON, MA 02110 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | — | $11K | 9.94% |
| HAYS COMPANIES, INC.7 Filed as: HAYS COMPANIES OF CHARLOTTE | 80 SOUTH 8TH ST., STE 700 MINNEAPOLIS, MN 55402 | EYEMED VISION CARE | $4K | — | $4K | 14.14% |
| NATIONAL GROUP PROTECTION INC3 | 1445 GREENBRIAR PLACE CHARLOTTESVILLE, VA 22901 | RELIASTAR LIFE INSURANCE COMPANY | $477 | — | $477 | 2.30% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: KINLOCH CONSULTING GROUP INC | 25 MELVILLE PARK RD STE 260 MELVILLE, NY 11747 | RELIASTAR LIFE INSURANCE COMPANY | $318 | — | $318 | 1.53% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 PHARMACY BENEFIT MANAGEME | Direct payment from the plan; Claims processing; Float revenue; Other fees Service code 12 | — | $1.3M |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 | Participant communication; Claims processing; Other services; Float revenue; Direct payment from the plan; Non-monetary compensation; Contract Administrator; Named fiduciary Service code 12 | — | $711K |
| AMWINS GROUP BENEFITS EIN 05-0461576 | Float revenue; Claims processing; Direct payment from the plan Service code 12 | — | $688K |
| BUCHBINDER TUNICK & CO LLP EIN 13-1578842 | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| SEAFARERS VACATION FUND EIN 13-5602047 | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Recordkeeping fees Service code 15 | — | $15K |
| BASIL CASTROVINCI ASSOCIATES INC EIN 13-2831500 | Direct payment from the plan; Actuarial Service code 11 | — | $6K |
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 | 390 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 169 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 559 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION CARE | 425 | $29K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 256 | $1.0M |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 270 | $110K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 558 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 558 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.