| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| 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 | $238 | $3K | 9.33% |
| SAVOY ASSOCIATES3 Filed as: SAVOY ASSOICATES | 25B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $117 | $245 | $362 | 1.20% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH 8TH ST SUITE 700 MINNEAPOLIS, MN 55402 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $2K | $172 | $3K | 13.59% |
| SAVOY ASSOCIATES3 Filed as: SAVOY ASSOICATES | 25B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | — | $242 | $242 | 1.25% |
| 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 | $116 | $2K | 10.60% |
| SAVOY ASSOCIATES3 | 25B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | — | $177 | $177 | 1.03% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH EIGHT STREET SUITE 700 MINNEAPOLIS, MN 55402 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | $457 | $27 | $484 | 15.90% |
| SAVOY ASSOCIATES3 | 25B HANOVER ROAD SUITE 220 FLORHAM PARK, NJ 07932 | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | — | $38 | $38 | 1.25% |
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 | 146 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 113 | $2.3M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 113 | $2.3M |
| Vision | VISION SERVICE PLAN | 127 | $16K |
| Life insurance | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 145 | $17K |
| Short-term disability | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 146 | $30K |
| Long-term disability | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 146 | $19K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 113 | $2.3M |
| Other | CIGNA LIFE INSURANCE COMPANY OF NEW YORK | 146 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 146 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
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.