| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 Filed as: IMA GROUP BENEFITS, LLC | 306 MAIN STREET THE DAY BUILDING,5TH FLOOR WORCESTER, MA 01608 | FALLON HEALTH | $33K | — | $33K | 1.91% |
| IMA, INC.3 Filed as: IMA GROUP BENEFITS | THE DAY BUILDING 306 MAIN STREET WORCHESTER, MA 01608 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC | $8K | $480 | $9K | 4.16% |
| IMA, INC.3 Filed as: IMA GROUP BENEFITS, LLC | 306 MAIN STREET THE DAY BUILDING WORCESTER, MA 01608 | MONY LIFE INSURANCE COMPANY OF AMERICA | $28K | — | $28K | 15.55% |
| INDIGO INSURANCE SVC3 | 446 MAIN STREET 5TH FLOOR WORCESTER, MA 01608 | MONY LIFE INSURANCE COMPANY OF AMERICA | — | $12K | $12K | 7.00% |
No Schedule C service providers reported on this filing.
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 | 192 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | FALLON HEALTH | 341 | $1.7M |
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC | 195 | $205K |
| Vision | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC | 195 | $205K |
| Life insurance | MONY LIFE INSURANCE COMPANY OF AMERICA | 182 | $178K |
| Short-term disability | MONY LIFE INSURANCE COMPANY OF AMERICA | 182 | $178K |
| Long-term disability | MONY LIFE INSURANCE COMPANY OF AMERICA | 182 | $178K |
| Other(2 contracts, 2 carriers) | MONY LIFE INSURANCE COMPANY OF AMERICA | 500 | $190K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 500 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.