| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KD BENEFITS4 | 6 PARK LANE MARBLEHEAD, MA 01945 | AETNA LIFE INSURANCE CO. | $10K | — | $10K | 5.98% |
| INDIGO INSURANCE SERVICES4 Filed as: INDIGO INSURANCE SERVICES LLC | 446 MAIN ST 5TH FL WORCESTER, MA 01608 | SYMETRA LIFE INSURANCE COMPANY | $15K | — | $15K | 18.31% |
| KD BENEFITS4 | 6 PARK LANE MARBLEHEAD, MA 01945 | DELTA DENTAL | $5K | — | $5K | — |
| KD BENEFITS4 | 6 PARK LANE MARBLEHEAD, MA 01945 | BLUE CROSS BLUE SHIELD | $27K | — | $27K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 04-1045815 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.2M |
| ROBERT KEOGH EIN 04-2088633 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $239K |
| ENVISION PHARMACEUTICAL EIN 05-0570786 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $116K |
| DELTA DENTAL EIN 04-6143185 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $112K |
| GWENETTE DRUMGOLD EIN 04-2088633 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| RICHARD KEOGH EIN 04-2088633 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $63K |
| MANZI & ASSOCIATES EIN 04-3508036 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $58K |
| MODERN ASSISTANCE EIN 04-3014253 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $58K |
| LORRAINE FORREST EIN 04-2088633 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $55K |
| ISSI EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $47K |
| LOOMIS SAYLES & CO. NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | ONE FINANCIAL CENTER BOSTON, MA 02111 | $42K |
| INTERCONTINENTAL REAL ESTATE EIN 04-3613055 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $37K |
| JUDITH FINCH EIN 04-2088633 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $30K |
| MARCO CONSULTING EIN 36-3555078 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $28K |
| CALIBRE CPA GROUP EIN 36-2131790 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $14K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $13K |
| DAVIS VISION EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $11K |
| SEGAL, ROITMAN EIN 13-2646110 NONE | Legal; Direct payment from the plan Service code 29 | — | $9K |
| CBIZ SAVITZ EIN 31-1582098 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $8K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $7K |
| SUSAN JENNINGS EIN 04-2088633 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $7K |
| MESIROW ADVANCED STRATEGIES EIN 36-3741067 NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $0 |
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 | 1,728 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 581 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,309 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 5,193 | $0 |
| Dental | DELTA DENTAL | 4,442 | $0 |
| Life insurance(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 2,511 | $244K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY-STOP LOSS | 1,646 | $226K |
| Other(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 2,511 | $244K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,193 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.