| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KD BENEFITS4 | 6 PARK LANE MARBLEHEAD, MA 01945 | SYMETRA LIFE INSURANCE COMPANY | $13K | $8K | $21K | 9.73% |
| KD BENEFITS4 | 6 PARK LANE MARBLEHEAD, MA 01945 | DELTA DENTAL | $5K | — | $5K | — |
| KD BENEFITS4 | 6 PARK LANE MARBLEHEAD, MA 01945 | BLUE CROSS BLUE SHIELD | $19K | — | $19K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 04-1045815 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.3M |
| EMPLOYEE B EIN 04-2088633 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $159K |
| ELIXIR SOLUTIONS EIN 90-1011712 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $141K |
| DELTA DENTAL EIN 04-6143185 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $126K |
| MODERN ASSISTANCE EIN 04-3014253 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $90K |
| EMPLOYEE C EIN 04-2088633 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $87K |
| EMPLOYEE D EIN 04-2088633 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| BUCK CONSULTANTS EIN 13-2655989 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $75K |
| BRIDGEWAY TECHNOLOGIES EIN 82-3315217 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $69K |
| LOOMIS SAYLES & CO. NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | ONE FINANCIAL CENTER BOSTON, MA 02111 | $66K |
| INTERCONTINENTAL REAL ESTATE EIN 04-3613055 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $62K |
| ROBERT KEOGH CONSULTANT | Direct payment from the plan; Consulting (general) Service code 16 | 11 HAMLIN ST. UNIT 1 SOUTH BOSTON, MA 02127 | $55K |
| EMPLOYEE E EIN 04-2088633 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
| EMPLOYEE F EIN 04-2088633 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $48K |
| MANZI & ASSOCIATES EIN 04-3508036 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $31K |
| SEGAL, ROITMAN EIN 13-2646110 NONE | Legal; Direct payment from the plan Service code 29 | — | $31K |
| MARCO CONSULTING EIN 36-3555078 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $29K |
| PITNEY BOWES BANK PURHCASE POWER EIN 84-1386389 NONE | Direct payment from the plan Service code 50 | — | $17K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $15K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $13K |
| CONSTANGY, BROOKS, SMITH & PROHPETE EIN 58-0616335 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $11K |
| DAVIS VISION EIN 11-3051991 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $10K |
| ARETE ADVISORS LLC EIN 81-3930932 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $10K |
| CALIBRE CPA GROUP EIN 36-2131790 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $8K |
| CBIZ SAVITZ EIN 31-1582098 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $8K |
| VASION EIN 87-0682952 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $6K |
| BAIRD ADVISORS EIN 39-6037917 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $0 |
| BNY MELLON EIN 25-6078093 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $0 |
| EATON VANCE EIN 04-2718214 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 | 1,786 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 538 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,324 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD | 5,528 | $0 |
| Dental | DELTA DENTAL | 4,654 | $0 |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 1,780 | $212K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 1,780 | $212K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,528 | — |
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.