| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 220 S RIDGEWOOD AVE DAYTONA BEACH, FL 32114 | HUMANA INSURANCE COMPANY | $19K | — | $19K | 2.02% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA BPM EMPLOYEE BENEF | 12900 METCALF, STE 200 OVERLAND PARK, KS 66213 | HUMANA INSURANCE COMPANY | $9K | $2K | $11K | 1.19% |
| TFB GROUP SERVICES LLC3 Filed as: TFB GROUP SERVICES, LLC | 4801 W 110TH STREET, STE 200 LEAWOOD, KS 66211 | HUMANA INSURANCE COMPANY | $10K | — | $10K | 1.04% |
| ACRISURE LLC3 Filed as: ACRISURE HERITAGE INSURANCE AGENCY | 7926 E 171ST ST BELTON, MO 64012 | HUMANA INSURANCE COMPANY | $0 | $2K | $2K | 0.21% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GRP INC-CORPORATE | 5110 N 40TH ST STE 234 PHOENIX, AZ 85018 | HUMANA INSURANCE COMPANY | $0 | $12 | $12 | 0.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC ATTN HAYS BOSTON | 80 S ST SUITE 700 MINNEAPOLIS, MN 55402 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 2.66% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA C D C INSURANCE GR | 6500 SHAFER CT STE 600 ROSEMONT, IL 60018 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 1.88% |
| TFB GROUP SERVICES LLC3 Filed as: TFB GROUP SERVICES, LLC | 4801 W 110TH ST SUITE 200 OVERLAND PARK, KS 66211 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 1.33% |
| ACRISURE LLC3 Filed as: ACRISURE HERITAGE INSURANCE AGENCY | 7926 E 171ST ST BELTON, MO 64012 | HUMANA DENTAL INSURANCE COMPANY | $0 | $5K | $5K | 5.51% |
| TFB GROUP SERVICES LLC3 | 4801 W 110TH ST STE 200 LEAWOOD, KS 66211 | HUMANA DENTAL INSURANCE COMPANY | $2K | — | $2K | 2.10% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA BPM EMPLOYEE BENEF | 12900 METCALF, STE 200 OVERLAND PARK, KS 66213 | HUMANA DENTAL INSURANCE COMPANY | $735 | — | $735 | 0.81% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 220 S RIDGEWOOD AVE DAYTONA BEACH, FL 32114 | HUMANA DENTAL INSURANCE COMPANY | $719 | — | $719 | 0.79% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GRP INC-CORPORATE | 5110 N 40TH ST, STE 234 PHOENIX, AZ 85018 | HUMANA DENTAL INSURANCE COMPANY | $0 | $89 | $89 | 0.10% |
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 | 112 | 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) | 112 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA INSURANCE COMPANY | 98 | $923K |
| Dental | HUMANA DENTAL INSURANCE COMPANY | 102 | $91K |
| Vision | HUMANA INSURANCE COMPANY | 98 | $923K |
| Life insurance | STANDARD INSURANCE COMPANY | 112 | $96K |
| Long-term disability | STANDARD INSURANCE COMPANY | 112 | $96K |
| Prescription drug | HUMANA INSURANCE COMPANY | 98 | $923K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 112 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.