| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS GROUP INC (DBA HAYSCOMPANIES) | IDS CENTER STE 700 80 SOUTH 8TH STR MINNEAPOLIS, MN 55402 | AMERICAN UNITED LIFE INSURANCE COMPANY | $160K | $57K | $217K | 27.17% |
| STOP LOSS INSURANCE SERVICES, INC.3 | 100 FRONT STREET SUITE 610 WORCESTER, MA 01608 | NATIONWIDE LIFE INSURANCE COMPANY | $20K | — | $20K | 7.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICAN HEALTH NETWEORK EIN 35-2108729 SERVICE PROVIDER | Direct payment from the plan Service code 50 | 10689 N. PENNSYLVANIA AVE INDIANAPOLIS, IN 46280 | $643K |
| HOSTCARE RESOURCES EIN 46-5299788 SERVICE PROVIDER | Other services Service code 49 | 120 8TH AVENUE NE DEMOTTE, IN 46310 | $200K |
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 SERVICE PROVIDER | Other services; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $186K |
| ALLIED BENEFIT SYSTEMS EIN 36-3086057 SERVICE PROVIDER | Claims processing Service code 12 | 200 W. ADAMS, SUITE 500 CHICAGO, IL 60606 | $103K |
| MEDWATCH CASE MANAGEMENT EIN 59-2884658 CONSULTANT | Consulting (general) Service code 16 | 120 INTERNATIONAL PARKWAY, SUITE 22 LAKE MARY, FL 32746 | $90K |
| CROWN POINT MANAGEMENT CONSULTANTS EIN 35-1710050 CONSULTANT | Consulting (general) Service code 16 | 412 SOUTH PENDLETON AVE PENDLETON, IN 46064 | $33K |
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 | 735 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 24 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 765 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 323 | $1.7M |
| Dental | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 323 | $1.7M |
| Vision | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 323 | $1.7M |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 719 | $799K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 719 | $799K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 323 | $1.7M |
| Stop-loss / reinsurancereinsurance | NATIONWIDE LIFE INSURANCE COMPANY | 542 | $291K |
| Other(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF ALABAMA | 719 | $2.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 719 | — |
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.