| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES LLC | 39340 TREASURY CENTER CHICAGO, IL 606949300 | MINNESOTA LIFE INSURANCE COMPANY | $64K | — | $64K | 5.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFIT GROUP LLC | 80 SOUTH 8TH STREET IDS CENTER, SUITE 700 MINNEAPOLIS, MN 55402 | MINNESOTA LIFE INSURANCE COMPANY | — | $22K | $22K | 1.71% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES, LLC. | 39030 TREASURY CENTER CHICAGO, IL 60694 | EYEMED VISION CARE | $60K | — | $60K | 9.82% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | NCB 88 P.O BOX 1414 MINNEAPOLIS, MN 55480 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $25K | $11K | $36K | 6.32% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 39340 TREASURY CENTER COMMISSION REVENUE CHICAGO, IL 60694 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $28K | — | $28K | 5.00% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES LLC | 39340 TREASURY CENTER CHICAGO, IL 606949300 | MINNESOTA LIFE INSURANCE COMPANY | $9K | — | $9K | 5.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFIT GROUP LLC | 80 SOUTH 8TH STREET IDS CENTER, SUITE 700 MINNEAPOLIS, MN 55402 | MINNESOTA LIFE INSURANCE COMPANY | $0 | $3K | $3K | 1.70% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES LLC | 39340 TREASURY CENTER CHICAGO, IL 60694 | CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES ('CIGNA') | $6K | — | $6K | 3.27% |
| AON CONSULTING INC3 Filed as: HEWITT ASSOCIATES LLC | 39430 TREASURY CENTER CHICAGO, IL 606949300 | MINNESOTA LIFE INSURANCE COMPANY | $7K | — | $7K | 5.00% |
| BENEPLACE, INC.3 Filed as: BENEPLACE | P.O BOX 203550 AUSTIN, TX 78720 | HYATT LEGAL PLANS, INC. | $6K | $31 | $6K | 10.00% |
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 | 4,606 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 361 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,967 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | SELECTHEALTH | 404 | $2.4M |
| Dental | CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES ('CIGNA') | 524 | $177K |
| Vision | EYEMED VISION CARE | 6,242 | $607K |
| Life insurance(3 contracts) | MINNESOTA LIFE INSURANCE COMPANY | 4,606 | $1.6M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 4,521 | $569K |
| Other(3 contracts, 3 carriers) | CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES ('CIGNA') | 5,358 | $346K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,242 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.