| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PATRIOT GROWTH INSURANCE SERVICES3 | 501 W OFFICE CENTER DR SUITE 215 FORT WASHINGTON, PA 19034 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $6K | — | $6K | 3.24% |
| PFG BENEFITS, INC.3 Filed as: PFG BENEFITS INC | 117 KENDRICK STREET SUITE 300 NEEDHAM, MA 02494 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 15.83% |
| INDIGO INSURANCE SERVICES3 Filed as: INDIGO INSURANCE SERVICES LLC | 100 FRONT STREET 20TH FLOOR WORCESTER, MA 01608 | HARTFORD LIFE AND ACCIDENT | — | $3K | $3K | 11.79% |
| PFG BENEFITS, INC.3 Filed as: PFG BENEFITS INC. | 118 KENDRICK STREET SUITE 300 NEEDHAM, MA 02494 | EYEMED VISION PLAN ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $2K | — | $2K | 9.87% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVENUE BOSTON, MA 02199 | USABLE LIFE | $3K | — | $3K | 20.07% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE BENEFIT ADMINISTRATORS OF MA EIN 04-1045815 CONTRACT ADMINISTRATOR | Claims processing Service code 12 | P.O. BOX 55917 BOSTON, MA 02205 | $82K |
| PINNACLE HR SOLUTIONS EIN 47-2257650 INSURANCE AGENT | Custodial (securities) Service code 19 | 117 KENDRICK STREET SUITE 300 NEEDHAM, MA 02494 | $61K |
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 | 175 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 179 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 149 | $184K |
| Vision | EYEMED VISION PLAN ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 301 | $18K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 184 | $39K |
| Long-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 184 | $39K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 184 | $39K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 301 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.