| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EASTERN INSURANCE GROUP LLC3 | 233 WEST CENTRAL STREET NATICK, MA 01760 | HARVARD PILGRIM HEALTH CARE INC. | $42K | — | $42K | 1.27% |
| EASTERN INSURANCE GROUP LLC3 | 233 WEST CENTRAL STREET NATICK, MA 01760 | HARVARD PILGRIM HEALTH CARE | $13K | — | $13K | 1.27% |
| EASTERN INSURANCE GROUP LLC3 | P.O. BOX 4000 WAKEFIELD, MA 01880 | DELTA DENTAL OF MASSACHUSETTS | $3K | — | $3K | 0.90% |
| BURGIN PLATNER HURLEY INSURANCE3 Filed as: BURGIN PLANTER HURLEY INSUR. AGENCY | 14 FRANKLIN STREET QUINCY, MA 02169 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $23K | — | $23K | 7.47% |
| MICHAEL P TSOTSIS3 | 466 MAIN STREET 14TH FLOOR WORCESTER, MA 01608 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | — | $11K | 3.73% |
| KEVIN MCGRATH3 | 200 CLARENDON STREET 19TH FLOOR BOSTON, MA 02116 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | — | $11K | 3.73% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 160 FEDERAL STREET BOSTON, MA 02110 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $479 | $479 | 0.16% |
| BURGIN PLATNER HURLEY INSURANCE3 Filed as: BURGIN PLATNER HURLEY INS | 14 FRANKLIN STREET QUINCY, MA 02169 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 1.66% |
| DAVID BOWEN3 | 8 MARK LANE MILTON, MA 02186 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 0.89% |
| EASTERN INSURANCE GROUP LLC3 | 138 CONANT STREET 2ND FLOOR BEVERLY, MA 01915 | THE HARTFORD | $6K | — | $6K | 4.82% |
| EASTERN INSURANCE GROUP LLC3 Filed as: EASTERN INSURANCE GROUP | PO BOX 4000 WAKEFIELD, MA 01880 | THE HARTFORD | — | $1K | $1K | 0.85% |
| EASTERN INSURANCE GROUP LLC3 | 39 NORMAN STREET SUITE 3 SALEM, MA 019703357 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $941 | — | $941 | 6.01% |
| TERRENCE P MCMAHON3 | 43 CONSTITUTION DR SUITE 201BEDFORD SAUGUS, NH 031106083 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | — | $528 | $528 | 3.37% |
| MICHAEL BRUCE URETSKY3 | 605 BROADWAY STE 201-301 SAUGUS, MA 019063200 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $5 | — | $5 | 0.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: ARTHUR J GALLAGHER & CO. OF MASS. | 1900 CROWN COLONY DR QUINCY, MA 02169 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $137 | — | $137 | 4.63% |
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 | 298 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 298 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MASSACHUSETTS | 734 | $313K |
| Long-term disability(4 contracts, 3 carriers) | THE HARTFORD | 298 | $143K |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 313 | $477K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 734 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.