| 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 | $60K | — | $60K | 5.99% |
| HAYS COMPANIES, INC.7 Filed as: HAYS COMPANIES | 133 FEDERAL ST 2ND FL BOSTON, MA 02110 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | — | $12K | 9.90% |
| HAYS COMPANIES, INC.7 Filed as: HAYS COMPANIES OF CHARLOTTE | 80 SOUTH 8TH ST., STE 700 MINNEAPOLIS, MN 55402 | EYEMED VISION CARE | $3K | — | $3K | 10.87% |
| NATIONAL GROUP PROTECTION INC3 | 1445 GREENBRIAR PLACE CHARLOTTESVILLE, VA 22901 | RELIASTAR LIFE INSURANCE COMPANY | — | $315 | $315 | 1.75% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: KINLOCH CONSULTING GROUP INC | 25 MELVILLE PARK RD STE 260 MELVILLE, NY 11747 | RELIASTAR LIFE INSURANCE COMPANY | — | $209 | $209 | 1.16% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 PHARMACY BENEFIT MANAGEME | Direct payment from the plan; Claims processing; Other fees; Float revenue Service code 12 | — | $1.5M |
| AMWINS GROUP BENEFITS EIN 05-0461576 | Claims processing; Direct payment from the plan; Float revenue Service code 12 | — | $1.2M |
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-1031071 | Participant communication; Named fiduciary; Claims processing; Float revenue; Non-monetary compensation; Contract Administrator; Direct payment from the plan; Other services Service code 12 | — | $624K |
| 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 | Direct payment from the plan; Recordkeeping fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $13K |
| BASIL CASTROVINCI ASSOCIATES INC EIN 13-2831500 | Actuarial; Direct payment from the plan Service code 11 | — | $8K |
| EVERNORTH BEHAVIORAL EIN 41-1648670 | Contract Administrator; Direct payment from the plan; Claims processing; Participant communication Service code 12 | — | $7K |
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 | 402 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 146 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 548 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION CARE | 450 | $31K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 231 | $1.0M |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 273 | $117K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 561 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 561 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.