| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF FLORIDA INC | — | HARTFORD LIFE AND ACCIDENT | — | $40K | $40K | 2.04% |
| WATCHTOWER BENEFITS, LLC3 | — | HARTFORD LIFE AND ACCIDENT | — | $27K | $27K | 1.38% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | — | RELIASTAR LIFE INSURANCE COMPANY | $132K | — | $132K | 17.63% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS BENEFITS GROUIP LLC | — | RELIASTAR LIFE INSURANCE COMPANY | $24K | — | $24K | 3.21% |
| WATCHTOWER BENEFITS, LLC3 | — | RELIASTAR LIFE INSURANCE COMPANY | — | $11K | $11K | 1.50% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | — | METLIFE | $12K | — | $12K | 23.45% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | — | METLIFE | $2K | — | $2K | 4.03% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 SOUTH 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | NATIONAL UNION FIRE INS CO OF PITTSBURGH PA | — | $0 | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBSM, INC. EIN 41-0984460 NONE | Other commissions; Legal; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Claims processing; Insurance brokerage commissions and fees; Contract Administrator Service code 12 | — | $2.4M |
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 | 5,778 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 5,778 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPSYCH | 5,923 | $103K |
| Vision | EYEMED | 7,463 | $386K |
| Life insurance(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 5,776 | $2.3M |
| Short-term disability | CIGNA LIFE INSURANCE COMPANY NY | 3 | $3K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 5,776 | $1.9M |
| Other | METLIFE | 16 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,463 | — |
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.