| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KEVIN M HARRINGTON3 Filed as: KEVIN F. HARRINGTON | 770 DEDHAM STREET CANTON, MA 020211418 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $12K | $20K | 12.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PDC ADMINISTRATIVE ACCOUNT EIN 04-2824420 AFFILIATED FUND | Direct payment from the plan; Contract Administrator Service code 13 | — | $898K |
| TUFTS BENEFIT ADMINISTRATORS EIN 04-3270923 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $713K |
| EMPLOYEE A EIN 04-2150983 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $152K |
| DELTA DENTAL EIN 04-6143185 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $135K |
| THE SEGAL COMPANY EIN 13-1928058 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $135K |
| EMPLOYEE B EIN 04-2150983 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $106K |
| EMPLOYEE F EIN 04-2150983 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $89K |
| EMPLOYEE C EIN 04-2150983 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| EMPLOYEE H EIN 04-2150983 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| AMERICAN REALTY ADVISORS EIN 33-0123114 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $69K |
| EMPLOYEE D EIN 04-2150983 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| MODERN ASSISTANCE EIN 04-3014253 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $67K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $61K |
| INNOVATIVE SOFTWARE SOLUTIONS INC EIN 04-3238118 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $52K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $47K |
| EMPLOYEE G EIN 04-2150983 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $37K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Other fees; Investment management; Investment management fees paid directly by plan; Custodial (securities); Custodial (other than securities) Service code 18 | — | $30K |
| MCDONNELL INVESTMENT EIN 27-4011137 NONE | Investment management fees paid directly by plan; Investment management; Other investment fees and expenses Service code 28 | — | $28K |
| SEGAL ROITMAN LLP EIN 04-2489114 NONE | Legal; Direct payment from the plan Service code 29 | — | $25K |
| MEKETA INVESTMENT GROUP EIN 04-2659023 NONE | Other investment fees and expenses; Investment management; Investment management fees paid directly by plan Service code 28 | — | $23K |
| DAVIS VISION EIN 11-3051991 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $14K |
| O'REILLY, GROSSO & GROSS PC EIN 04-3318596 NONE | Legal; Direct payment from the plan Service code 29 | — | $13K |
| BMO HARRIS BANK NA EIN 36-2085229 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $9K |
| COMMONWEALTH OF MASSACHUSETTS NONE | Direct payment from the plan; Other services Service code 49 | 100 HANCOCK STREET, 6TH FLR QUINCY, MA 02171 | $8K |
| HEXAVEST INC. NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $6K |
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 | 1,645 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 644 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,289 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,032 | $165K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,590 | $135K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,032 | $165K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,032 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.