| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN & BROWN INSURANCE SERVICES3 | 300 N BEACH STREET DAYTONA, FL 32114 | HPHC JOINT VENTURE UHG | $16K | $11K | $28K | 2.13% |
| HAYS COMPANIES, INC.3 Filed as: HAYS INSURANCE BROKERAGE GRP NE LLC | VERONICA L ABENDROTH, IDS CENTER 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | HPHC JOINT VENTURE UHG | -$153 | — | -$153 | -0.01% |
| BROWN & BROWN INSURANCE SERVICES3 | 300 N BEACH STREET DAYTONA, FL 32114 | HPHC JOINT VENTURE UHG | $10K | $7K | $17K | 2.30% |
| HAYS COMPANIES, INC.3 Filed as: HAYS INSURANCE BROKERAGE GRP NE LLC | VERONICA L ABENDROTH, IDS CENTER 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | HPHC JOINT VENTURE UHG | -$87 | — | -$87 | -0.01% |
| BROWN & BROWN INSURANCE SERVICES3 | 300 N BEACH STREET DAYTONA, FL 32114 | HARVARD PILGRIM HEALTH CARE | $7K | $3K | $11K | 2.73% |
| HAYS COMPANIES, INC.3 Filed as: HAYS INSURANCE BROKERAGE GRP NE LLC | VERONICA L ABENDROTH, IDS CENTER 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | HARVARD PILGRIM HEALTH CARE | -$45 | — | -$45 | -0.01% |
| BROWN & BROWN INSURANCE SERVICES3 | 980 WASHINGTON STREET SUITE 325 DEDHAM, MA 02026 | DELTA SERVICE OF MASSACHUSETTS, INC. DBA DELTA DENTAL OF MA | $4K | $1K | $5K | 3.95% |
| BROWN & BROWN INSURANCE SERVICES3 | 980 WASHINGTON STREET SUITE 325 DEDHAM, MA 02026 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 6.24% |
| BROWN & BROWN INSURANCE SERVICES3 | 1200 N MAYFAIR RD SUITE 100 MILWAUKEE, WI 53226 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $1K | $1K | 2.45% |
| BROWN & BROWN INSURANCE SERVICES3 | 980 WASHINGTON STREET SUITE 325 DEDHAM, MA 02026 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 8.69% |
| BROWN & BROWN INSURANCE SERVICES3 | 1200 N MAYFAIR RD SUITE 100 MILWAUKEE, WI 53226 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $901 | $901 | 2.56% |
| BROWN & BROWN INSURANCE SERVICES3 | 980 WASHINGTON STREET SUITE 325 DEDHAM, MA 02026 | EYEMED VISION CARE | $2K | — | $2K | 11.15% |
| BROWN & BROWN INSURANCE SERVICES3 | 980 WASHINGTON STREET SUITE 325 DEDHAM, MA 02026 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| BROWN & BROWN INSURANCE SERVICES3 | 1200 N MAYFAIR RD SUITE 100 MILWAUKEE, WI 53226 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $290 | $290 | 3.03% |
| BROWN & BROWN INSURANCE SERVICES3 | 980 WASHINGTON ST SUITE 325 DEDHAM, MA 02026 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $810 | — | $810 | 15.01% |
| BROWN & BROWN INSURANCE SERVICES3 | 1200 N MAYFAIR RD SUITE 100 MILWAUKEE, WI 53226 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $142 | $142 | 2.63% |
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 | 158 | 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) | 158 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | HPHC JOINT VENTURE UHG | 150 | $2.4M |
| Dental | DELTA SERVICE OF MASSACHUSETTS, INC. DBA DELTA DENTAL OF MA | 278 | $135K |
| Vision | EYEMED VISION CARE | 120 | $18K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 158 | $50K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 158 | $35K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 158 | $10K |
| Prescription drug(3 contracts, 2 carriers) | HPHC JOINT VENTURE UHG | 150 | $2.4M |
| Other(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 158 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 278 | — |
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."
No prospect flags tripped on this filing.