| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WATCHTOWER BENEFITS, LLC3 | — | HARTFORD LIFE AND ACCIDENT | — | $29K | $29K | 1.50% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF FLORIDA INC | — | HARTFORD LIFE AND ACCIDENT | — | $7K | $7K | 0.38% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | — | RELIASTAR LIFE INSURANCE COMPANY | $151K | — | $151K | 19.65% |
| WATCHTOWER BENEFITS, LLC3 | — | RELIASTAR LIFE INSURANCE COMPANY | — | $12K | $12K | 1.50% |
| 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% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | — | METLIFE | $3K | — | $3K | 53.92% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | — | METLIFE | $550 | — | $550 | 8.78% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | — | METLIFE | $35 | — | $35 | 0.56% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBSM, INC. EIN 41-0984460 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Insurance brokerage commissions and fees; Other commissions; Legal; Other fees; Contract Administrator Service code 12 | — | $2.2M |
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 | 5,355 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 5,355 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMPSYCH | 5,395 | $98K |
| Vision | EYEMED | 7,017 | $375K |
| Life insurance(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 5,294 | $2.3M |
| Short-term disability | CIGNA LIFE INSURANCE COMPANY NY | 5 | $2K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 5,294 | $1.9M |
| Other | METLIFE | 8 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,770 | — |
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.