| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | UNIMERICA INSURANCE COMPANY | $28K | $0 | $28K | 15.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 5.00% |
| BENEFIT ADMINISTRATION SYSTEMS, LLC3 Filed as: BENEFIT ADMINISTRATION SYSTEMS LLC | 17475 JOVANNA DRIVE SUITE 18 HOMEWOOD, IL 60430 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 5.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURG, PA | $3K | $0 | $3K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT ADMINISTRATIVE SYSTEMS, LLC THIRD PARTY ADMINISTRATO | Claims processing Service code 12 | 17475 JOVANNA DRIVE SUITE 1B HOMEWOOD, IL 60430 | $56K |
| HEALTHLINK, INC. EIN 43-1364135 PROVIDER | Claims processing Service code 12 | 1831 CHESTNUT STREET ST. LOUIS, MO 63103 | $11K |
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 | 138 | 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) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNIMERICA INSURANCE COMPANY | 138 | $190K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 372 | $74K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 372 | $74K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 372 | $74K |
| Stop-loss / reinsurancereinsurance | UNIMERICA INSURANCE COMPANY | 138 | $190K |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 372 | $106K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 372 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.