| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HNE INSURANCE SERVICES3 Filed as: HNE INSURANCE SERVICES CORP. | ONE MONARCH PLACE SUITE 1500 SPRINGFIELD, MA 011441500 | HM LIFE INSURANCE COMPANY | $46K | — | $46K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH NEW ENGLAND EIN 04-2864973 WHOLLY OWNED SUBSIDIARY | Direct payment from the plan; Other fees; Contract Administrator Service code 13 | — | $4.2M |
| DELTA DENTAL OF MASSACHUSETTS EIN 04-6143185 NONE | Other fees; Direct payment from the plan; Contract Administrator Service code 13 | — | $466K |
| WEIGHT WATCHERS NORTH AMERICA, INC. EIN 52-1656141 NONE | Other fees; Contract Administrator; Direct payment from the plan Service code 13 | — | $300K |
| MERCER HEALTH & BENEFITS, LLC EIN 34-2015463 NONE | Consulting (general); Direct payment from the plan; Consulting fees Service code 16 | — | $150K |
| THE GAUDREAU GROUP, INC. EIN 04-2224848 NONE | Consulting fees; Direct payment from the plan; Consulting (general) Service code 16 | — | $99K |
| TOWERS WATSON PENNSYLVANIA, INC. EIN 23-1159360 NONE | Consulting (general); Direct payment from the plan; Consulting fees Service code 16 | — | $74K |
| PENSION & HEALTH ASSOCIATES, INC. EIN 04-2423112 NONE | Consulting (general); Direct payment from the plan; Consulting fees Service code 16 | — | $71K |
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 | 7,529 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,529 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 7,502 | $929K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,502 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.