| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC. | 133 FEDERAL STREET, 6TH FLOOR BOSTON, MA 02110 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $60K | $8K | $68K | 3.58% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: BROWN & BROWN OF MA LLC | 333 ELM ST #300 DEDHAM, MA 02026 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $12K | — | $12K | 0.64% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC. | 133 FEDERAL ST. 3RD FL BOSTON, MA 02110 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 10.81% |
| INDIGO INSURANCE SERVICES3 Filed as: INDIGO INS SERVICES LLC | 446 MAIN ST 5TH FL WORCESTER, MA 01608 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 6.33% |
| ALBANO, JOSEPH, L3 | 138 RIVER RD #310 ANDOVER, MA 01810 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $198 | — | $198 | 1.48% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC. DBA HAYS CO. | 133 FEDERAL ST 3RD FL BOSTON, MA 02110 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $76 | — | $76 | 0.57% |
| WRIGHT, TINA, L TBR ASSOCIATES3 Filed as: WRIGHT, TINDA L TBR ASSOCIATES | 2 MEMORY LN MEDWAY, MA 02053 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 0.22% |
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 | 168 | 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) | 168 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 371 | $1.9M |
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 371 | $1.9M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 168 | $37K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 168 | $37K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 371 | $1.9M |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 168 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 371 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.