| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH 8TH ST SUITE 700 MINNEAPOLIS, MN 55402 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $20K | — | $20K | 0.82% |
| DONALD C SAVOY INC3 | 25B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 079320000 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $17K | $17K | 0.72% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH EIGHT STREET SUITE 700 MINNEAPOLIS, MN 55402 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $3K | $362 | $4K | 6.84% |
| SAVOY ASSOCIATES3 Filed as: SAVOY ASSOICATES | 25B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | — | $2K | $2K | 4.64% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MELTZER GROUP INC. | 6500 ROCK SPRING DRIVE SUITE 500 BETHESDA, MD 20817 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $187 | $391 | $578 | 1.13% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH 8TH ST SUITE 700 MINNEAPOLIS, MN 55402 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $4K | $228 | $4K | 11.69% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MELTZER GROUP BENEFITS | 6500 ROCK SPRING DRIVE SUITE 410 BETHESDA, MD 20817 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $233 | $243 | $476 | 1.42% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH EIGHT STREET SUITE 700 MINNEAPOLIS, MN 55402 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $2K | $160 | $2K | 8.74% |
| SAVOY ASSOCIATES3 | 25B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | — | $1K | $1K | 4.78% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MELTZER GROUP INC | 6500 ROCK SPRING DRIVE SUITE 500 BETHESDA, MD 20817 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $115 | $171 | $286 | 1.19% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH EIGHT STREET SUITE 700 MINNEAPOLIS, MN 55402 | VISION SERVICE PLAN | $928 | — | $928 | 5.61% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH EIGHT STREET SUITE 700 MINNEAPOLIS, MN 55402 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $1K | $34 | $1K | 21.65% |
| SAVOY ASSOCIATES3 | 25B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $237 | $259 | $496 | 9.57% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MELTZER GROUP INC. | 6500 ROCK SPRING DRIVE SUITE 500 BETHESDA, MD 20817 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $53 | $37 | $90 | 1.74% |
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 | 174 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 178 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 136 | $2.4M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 136 | $2.4M |
| Vision | VISION SERVICE PLAN | 147 | $17K |
| Life insurance | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 172 | $24K |
| Short-term disability | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 174 | $51K |
| Long-term disability | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 174 | $33K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 136 | $2.4M |
| Other | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 173 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 174 | — |
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.
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.