| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND | 2000 CHAPEL VIEW BLVD SUITE 240 CRANSTON, RI 02920 | THE HARTFORD GROUP | $8K | — | $8K | 2.95% |
| 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 | $2.4M |
| THE HARTFORD EIN 06-0838648 INSURANCE PROVIDER | Insurance services Service code 23 | P.O. BOX 2999 HARTFORD, CT 061042999 | $261K |
| BOSTON SHIPPING ASSOC. EIN 04-2034907 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 197 8TH STREET, SUITE 775 CHARLESTOWN, MA 02129 | $131K |
| MODERN ASSISTANCE PROGRAMS EIN 04-3014253 OTHER SERVICES | Other services Service code 49 | 1400 HANCOCK ST QUINCY, MA 02169 | $31K |
| WALTER & SHUFFAIN, P.C. EIN 04-3236496 AUDITOR | Accounting (including auditing) Service code 10 | ONE INTERNATIONAL PLACE, SUITE 1010 BOSTON, MA 02110 | $24K |
| ROGERS FUNERAL HOME EIN 04-2241116 NONE | Other services Service code 49 | TWO HILLSIDE AVENUE AMESBURY, MA 01913 | $9K |
| SULLIVAN FUNERAL HOMES EIN 04-2461467 OTHER SERVICES | Other services Service code 49 | 551 WASHINGTON ST. HANOVER, MA 02339 | $9K |
| NICHOLS FUNERAL HOME, INC EIN 20-2538252 NONE | Other services Service code 49 | 187 MIDDLESEX AVE. WILMINGTON, MA 01887 | $8K |
| CBIZ INC EIN 31-1582098 ACTUARY | Actuarial Service code 11 | 75 SECOND AVE NEEDHAM, MA 02494 | $6K |
| FEINBERG, DUMONT, & BRENNAN EIN 04-2738936 NONE | Legal Service code 29 | 177 MILK STREET SUITE 300 BOSTON, MA 02109 | $5K |
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 | 277 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 83 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 360 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE HARTFORD GROUP | 267 | $261K |
| Short-term disability | THE HARTFORD GROUP | 267 | $261K |
| Other | THE HARTFORD GROUP | 267 | $261K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 267 | — |
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.