| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 S. 8TH STREET MINNEAPOLIS, MN 55402 | BLUE CROSS AND BLUE SHIELD OF MN | $59K | $9K | $68K | 2.62% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC. | 80 S 8TH STREET MINNEAPOLIS, MN 55402 | SUN LIFE ASSURANCE COMPANY OF CANADA | $25K | $6K | $32K | 17.89% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | SUITE 700 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | EYEMED VISION CARE FOR FIDELITY SECURITY LIFE COMPANY | $2K | — | $2K | 11.33% |
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 | 288 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 300 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF MN | 446 | $2.6M |
| Vision | EYEMED VISION CARE FOR FIDELITY SECURITY LIFE COMPANY | 232 | $13K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 300 | $177K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 300 | $177K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 300 | $177K |
| Other(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF MN | 446 | $2.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 446 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.