| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 S. 8TH STREET STE. 700 MINNEAPOLIS, MN 55402 | AVERA HEALTH PLAN | $32K | $0 | $32K | 2.77% |
| HAYS COMPANIES, INC.3 Filed as: JAMES HAYS, HAYS COMPANIES OF MN | 80 SOUTH 8TH STREET STE 700 MINNEAPOLIS, MN 55402 | DELTA DENTAL OF SOUTH DAKOTA | $1K | $0 | $1K | 2.22% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES OF MN | 80 S. 8TH STREET STE. 700 MINNEAPOLIS, MN 55402 | DELTA DENTAL OF SD | $1K | $0 | $1K | 2.38% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 S. 8TH STREET STE. 700 MINNEAPOLIS, MN 55402 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 S. 8TH STREET STE. 700 MINNEAPOLIS, MN 55402 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 12.95% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP, LLC | 80 S. 8TH STREET STE. 700 MINNEAPOLIS, MN 55402 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $257 | $4K | 27.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH 8TH STREET STE. 700 MINNEAPOLIS, MN 55402 | FIDELITY SECURITY LIFE INSURANCE COMPANY (EYEMED) | $2K | $0 | $2K | 10.04% |
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 | 317 | 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) | 317 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AVERA HEALTH PLAN | 257 | $1.1M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF SOUTH DAKOTA | 182 | $124K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY (EYEMED) | 244 | $16K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 317 | $30K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 250 | $25K |
| Prescription drug | AVERA HEALTH PLAN | 257 | $1.1M |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 317 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 317 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.