| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INCENTIVE GROUP3 Filed as: INCENTIVE GROUP INS BROKER LLC | 201 JONES ROAD STE 625 WALTHAM, MA 02451 | THE HARTFORD GROUP | $8K | $14K | $22K | 7.93% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MILA MANAGED HEALTH CARE EIN 13-3968546 OTHER SERVICES | Other services Service code 49 | 111 BROADWAY, 5TH FLOOR NEW YORK, NY 100061901 | $2.7M |
| MODERN ASSISTANCE PROGRAMS EIN 04-3014253 OTHER SERVICES | Other services Service code 49 | 1400 HANCOCK ST QUINCY, MA 02169 | $21K |
| NICHOLS FUNERAL HOME EIN 20-2538252 OTHER SERVICES | Other services Service code 49 | 187 MIDDLESEX AVENUE WILMINGTON, MA 01887 | $18K |
| RUSSELL, BRIER & CO. LLP EIN 04-1796830 AUDITOR | Accounting (including auditing) Service code 10 | 10 POST OFFICE SQUARE BOSTON, MA 02109 | $17K |
| CARR FUNERAL HOME EIN 04-3408207 OTHER SERVICES | Other services Service code 49 | 220 BUNKER HILL ST CHARLESTOWN, MA 02129 | $9K |
| CARTWRIGHT FUNERAL HOME EIN 04-2774890 OTHER SERVICES | Other services Service code 49 | 419 NO. MAIN STREET RANDOLPH, MA 02368 | $9K |
| KEEFE FUNERAL HOME EIN 04-2484347 OTHER SERVICES | Other services Service code 49 | 2175 MASSACHUSETTS AVENUE CAMBRIDGE, MA 02140 | $9K |
| LANE FUNERAL HOME EIN 04-2037302 OTHER SERVICES | Other services Service code 49 | 760 MAIN STREET WINCHESTER, MA 01890 | $9K |
| CBIZ INC EIN 31-1582098 ACTUARY | Actuarial Service code 11 | 75 SECOND AVE NEEDHAM, MA 02494 | $6K |
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 | 246 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 142 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 388 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE HARTFORD GROUP | 262 | $276K |
| Short-term disability | THE HARTFORD GROUP | 262 | $276K |
| Other | THE HARTFORD GROUP | 262 | $276K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 262 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.