| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC | 5800 GRANITE PKWY, SUITE 160A PLANO, TX 75024 | BLUE CROSS BLUE SHIELD | — | $1K | $1K | 0.16% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC | 80 SOUTH 8TH STREET, STE 700 MINNEAPOLIS, MN 55402 | METROPOLITAN LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC | 80 SOUTH 8TH STREET, STE 700 MINNEAPOLIS, MN 55402 | UNION SECURITY INSURANCE COMPANY | $3K | — | $3K | 10.12% |
| SUMMIT GLOBAL PARTNERS OF TX, INC.3 Filed as: SUMMIT GLOBAL PARTNERS OF TX INC | 7600 B N CAPITAL OF TX HWY STE 160A AUSTIN, TX 78731 | UNION SECURITY INSURANCE COMPANY | $2K | — | $2K | 5.31% |
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 | 156 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD | 223 | $799K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 467 | $119K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 467 | $112K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 467 | $112K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 467 | $112K |
| Prescription drug | BLUE CROSS BLUE SHIELD | 223 | $795K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 467 | $145K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 467 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.