| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEONARD MONTANARI3 | 2 FOREST PARK DR FARMINGTON, CT 06032 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $1K | — | $1K | — |
| THE JAMES B OSWALD COMPANY3 Filed as: JAMES ADAMS | 2 FOREST PARK DR FARMINGTON, CT 06032 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $654 | — | $654 | — |
| EDWARD D SOMMER3 Filed as: EDWARD SUNTER | 330 WHITNEY AVE STE 600 HOLYOKE, MA 01040 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $576 | — | $576 | — |
| ROBIN CAMERON DIETZ3 Filed as: ROBIN DIETZ | 40 WHITE OAKS DR LONGMEADOW, MA 01106 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $364 | — | $364 | — |
| PETER CASSELL3 | 711 SILVER ST AGAWAM, MA 01001 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $226 | — | $226 | — |
| THE JAMES B OSWALD COMPANY3 Filed as: JAMES ADAMS | — | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $162 | — | $162 | — |
| ALAN MATTHEW LAPORTE3 Filed as: ALAN LAPORTE | 330 WHITNEY AVE STE 600 HOLYOKE, MA 01040 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $148 | — | $148 | — |
| EDWARD D SOMMER3 Filed as: EDWARD SUNTER | — | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $131 | — | $131 | — |
| DANIEL F MCCARTHY3 Filed as: DANIEL MCCARTHY | C/O CM SMITH FINANCIAL INC 100 PEARL ST FL 3 W HARTFORD, CT 06103 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $120 | — | $120 | — |
| BAXTER H MAFFETT3 Filed as: BAXTER MAFFETT | C/O CM SMITH FINANCIAL INC 100 PEARL ST FL 3 W HARTFORD, CT 06103 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $120 | — | $120 | — |
| LEONARD ADAMS INSURANCE INC3 Filed as: LEONARD MONATANARI | — | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $94 | — | $94 | — |
| RICKEY WILLARD3 | STE 803 819 WORCESTER ST INDIAN ORCHARD, MA 01151 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $92 | — | $92 | — |
| ALAN MATTHEW LAPORTE3 | — | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $68 | — | $68 | — |
| DAVID MCGEARY3 Filed as: DAVID WOODS | 114 PRYNNWOOD RD LONGMEADOW, MA 01106 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $44 | — | $44 | — |
| ROBIN CAMERON DIETZ3 | — | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $36 | — | $36 | — |
| JUDITH LUDDY3 | 330 WHITNEY AVE STE 600 HOLYOKE, MA 01040 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $35 | — | $35 | — |
| CHRISTOPHER SHUMAN3 | 330 WHITNEY AVE STE 600 HOLYOKE, MA 01040 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $33 | — | $33 | — |
| MATTHEW SCARAFONI3 | 128 SOUTH ST PITTSFIELD, MA 01201 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $32 | — | $32 | — |
| ROLAND GAUDETTE3 | 330 WHITNEY AVE STE 600 HOLYOKE, MA 01040 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $28 | — | $28 | — |
| CHARLES EPSTEIN3 | 12 SOMERS RD EAST LONGMEADOW, MA 01028 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $26 | — | $26 | — |
| RAYMOND GIANANTONI3 | 711 SILVER ST AGAWAM, MA 01001 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $20 | — | $20 | — |
| SHANE TENNY3 | 4350 CONGRESS ST STE 300 CHARLOTTE, NC 28209 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $20 | — | $20 | — |
| DONALD CAMERON3 | 18 LINCOLN LN NEWCASTLE, ME 04553 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $19 | — | $19 | — |
| WILLIAM MINER3 | 330 WHITNEY AVE STE 600 HOLYOKE, MA 01040 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $14 | — | $14 | — |
| DANIEL F MCCARTHY3 Filed as: DANIEL MCCARTHY | 100 PEARL ST FL 3 W TOWER HARTFORD, CT 06103 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $9 | — | $9 | — |
| BAXTER H MAFFETT3 Filed as: BAXTER MAFFETT | 100 PEARL ST FL 3 W TOWER HARTFORD, CT 06103 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $9 | — | $9 | — |
| ROBERT PURNELL3 | 1500 MAIN ST P O BOX 15349 SPRINGFIELD, MA 01111 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $4 | — | $4 | — |
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 | 200 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 200 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | 200 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 200 | — |
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.