| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP LLC | 80 S. 8TH STREET STE 700 MINNEAPOLIS, MN 55402 | HEALTHPARTNERS, INC. | $30K | $108 | $30K | 1.13% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC | 80TH SOUTH 8TH STREET 700 MINNEAPOLIS, MN 55402 | LIFE INSURANCE COMPANY OF NORTH AMERICA - CIGNA | $5K | — | $5K | 10.00% |
| WATCHTOWER BENEFITS, LLC3 Filed as: WATCHTOWER BENEFITS | 227 MONROE STREET 5200 CHICAGO, IA 60606 | LIFE INSURANCE COMPANY OF NORTH AMERICA - CIGNA | — | $811 | $811 | 1.50% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP LLC | 80 S. 8TH STREET STE 700 MINNEAPOLIS, MN 55402 | LIFE INSURANCE COMPANY OF NORTH AMERICA - CIGNA | $3K | — | $3K | 6.61% |
| WATCHTOWER BENEFITS, LLC3 Filed as: WATCHTOWER BENEFITS | 227 MONROE STREET STE 5200 CHICAGO, IL 60606 | LIFE INSURANCE COMPANY OF NORTH AMERICA - CIGNA | — | $418 | $418 | 0.90% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC | 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | LIFE INSURANCE COMPANY OF NORTH AMERICA - CIGNA | $7K | — | $7K | 15.00% |
| WATCHTOWER BENEFITS, LLC3 Filed as: WATCHTOWER BENEFITS | 227 MONROE STREET SUITE 700 CHICAGO, IL 60606 | LIFE INSURANCE COMPANY OF NORTH AMERICA - CIGNA | — | $695 | $695 | 1.50% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC | 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | LIFE INSURANCE COMPANY OF NORTH AMERICA - CIGNA | $798 | — | $798 | 15.01% |
| WATCHTOWER BENEFITS, LLC3 Filed as: WATCHTOWER BENEFITS | 80TH SOUTH 8TH STREET SUITE 700 CHICAGO, IL 60606 | LIFE INSURANCE COMPANY OF NORTH AMERICA - CIGNA | — | $80 | $80 | 1.50% |
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 | 1 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 230 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 231 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTHPARTNERS, INC. | 399 | $2.7M |
| Dental | DELTA DENTAL OF MN | 419 | $134K |
| Vision | VSP | 109 | $15K |
| Life insurance(3 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA - CIGNA | 266 | $98K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA - CIGNA | 266 | $54K |
| Prescription drug | HEALTHPARTNERS, INC. | 399 | $2.7M |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA - CIGNA | 266 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 419 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.