| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHRISTINE ANDREWS3 Filed as: CHRISTINE S ANDREWS | 4 FOREST PARK DRIVE FARMINGTON, CT 06032 | HORIZON HEALTHCARE SERVICES INC | $75K | $0 | $75K | 3.43% |
| CHRISTINE ANDREWS3 Filed as: CHRISTINE S ANDREWS | 4 FOREST PARK DRIVE FARMINGTON, CT 06032 | HORIZON HEALTHCARE SERVICES INC | $16K | $0 | $16K | 3.44% |
| CHRISTINE ANDREWS3 Filed as: CHRISTINE S ANDREWS | PO BOX 466 FARMINGTON, CT 06034 | CIGNA HEALTH & LIFE INSURANCE COMPANY | $8K | $0 | $8K | 4.07% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | CIGNA HEALTH & LIFE INSURANCE COMPANY | $0 | $7K | $7K | 3.97% |
| CHRISTINE ANDREWS3 Filed as: CHRISTINE S ANDREWS | PO BOX 466 FARMINGTON, CT 06034 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $0 | $4K | 6.23% |
| ROGERS BENEFIT GROUP INC3 | ONE FOREST PK DR FARMINGTON, CT 06032 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $3K | $3K | 4.99% |
| CHRISTINE ANDREWS3 Filed as: CHRISTINE S ANDREWS | PO BOX 466 FARMINGTON, CT 06034 | AMERITAS LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.00% |
| CHRISTINE ANDREWS3 Filed as: CHRISTINE S ANDREWS | PO BOX 466 FARMINGTON, CT 06034 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $162 | $0 | $162 | 12.02% |
| ROGERS BENEFIT GROUP INC3 | ONE FOREST PK DR FARMINGTON, CT 06032 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $67 | $67 | 4.97% |
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 | 404 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 404 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HORIZON HEALTHCARE SERVICES INC | 260 | $2.2M |
| Dental | CIGNA HEALTH & LIFE INSURANCE COMPANY | 225 | $187K |
| Vision | AMERITAS LIFE INSURANCE COMPANY | 371 | $26K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 130 | $57K |
| Prescription drug | HORIZON HEALTHCARE SERVICES INC | 102 | $476K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 404 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 404 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.