| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COMPREHENSIVE BENEFIT ADMINISTRATOR3 | 120 LONGWATER DRIVE SUITE 201 NORWELL, MA 02061 | TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. | $25K | $0 | $25K | 1.70% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 500 FAUNCE CORNER RD BLDG 100 STE 120 STE 502 DARTMOUTH, MA 02747 | TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. | $0 | $6K | $6K | 0.45% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS LLC | 980 WASHINGTON STREET, SUITE 325 DEDHAM, MA 02026 | TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. | $2K | $0 | $2K | 0.16% |
| COMPREHENSIVE BENEFIT ADMINISTRATOR3 Filed as: COMPREHENSIVE BENEFIT ADMIN | 120 LONGWATER DRIVE SUITE 201 NORWELL, MA 02061 | TUFTS INSURANCE COMPANY | $3K | $0 | $3K | 0.94% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 500 FAUNCE CORNER RD BLDG 100 DARTMOUTH, MA 02747 | TUFTS INSURANCE COMPANY | $0 | $2K | $2K | 0.58% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS LLC | 980 WASHINGTON STREET SUITE 325 DEDHAM, MA 02026 | TUFTS INSURANCE COMPANY | $264 | $0 | $264 | 0.09% |
| COMPREHENSIVE BENEFIT ADMINISTRATOR3 | 120 LONGWATER DRIVE NORWELL, MA 02061 | PRINCIPAL LIFE INSURANCE COMPANY | $15K | $8K | $22K | 8.16% |
| GARRY L JOHNSON & ASSOCIATES INC3 Filed as: GARRY L JOHNSON | 3850 E BASELINE RD STE 121 MESA, AZ 85206 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | $0 | $5K | 2.00% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP DBA ARMS | 965 GREENTREE RD STE 110 PITTSBURGH, PA 15224 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $5K | $5K | 1.74% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 980 WASHINGTON ST STE 325 DEDHAM, MA 02026 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 0.40% |
| COMPREHENSIVE BENEFIT ADMINISTRATOR3 | 120 LONGWATER DRIVE NORWELL, MA 02016 | DENTAL SERVICE OF MASSACHUSETTS, INC, D/B/A DELTA DENTAL | $3K | $0 | $3K | 3.33% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS, LLC | 980 WASHINGTON ST, SUITE 325 DEDHAM, MA 02026 | DENTAL SERVICE OF MASSACHUSETTS, INC, D/B/A DELTA DENTAL | $480 | $0 | $480 | 0.62% |
| COMPREHENSIVE BENEFIT ADMINISTRATOR3 | 120 LONGWATER DR STE 301 NORWELL, MA 02061 | EYEMED VISION CARE | $372 | $0 | $372 | 8.75% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN DBA HAYS COMPANIES | 980 WASHINGTON ST DEDHAM, MA 02026 | EYEMED VISION CARE | $39 | $0 | $39 | 0.92% |
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 | 134 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 135 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. | 171 | $1.7M |
| Dental | DENTAL SERVICE OF MASSACHUSETTS, INC, D/B/A DELTA DENTAL | 165 | $77K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 152 | $274K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 152 | $274K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 152 | $274K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 152 | $274K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 171 | — |
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.