| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KEVIN MURPHY3 Filed as: KEVIN HARRINGTON | 770 DEDHAM STREET, STE 1 CANTON, MA 02021 | AMALGAMATED LIFE INSURANCE COMPANY | $10K | — | $10K | 5.00% |
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY (EASTERN STATES) | 333 WEST 34TH ST NEW YORK, NY 10001 | HCC LIFE INSURANCE COMPANY | $11K | — | $11K | 7.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TUFTS HEALTH PLAN EIN 04-2985923 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $864K |
| PDC ADMINISTRATIVE ACCOUNT EIN 04-2824420 AFFILIATED FUND | Direct payment from the plan; Contract Administrator Service code 13 | — | $773K |
| DELTA DENTAL EIN 04-6143185 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $164K |
| THE SEGAL COMPANY EIN 13-1928058 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $150K |
| EMPLOYEE B EIN 04-2150983 EMPLOYEE | Employee (plan) Service code 30 | — | $130K |
| AMERICAN REALTY ADVISORS EIN 33-0123114 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $96K |
| EMPLOYEE F EIN 04-2150983 EMPLOYEE | Employee (plan) Service code 30 | — | $86K |
| MODERN ASSISTANCE EIN 04-3014253 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $77K |
| EMPLOYEE C EIN 04-2150983 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $77K |
| 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 | — | $69K |
| EMPLOYEE G EIN 04-2150983 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $68K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $65K |
| EMPLOYEE H EIN 04-2150983 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $64K |
| EMPLOYEE I EIN 04-2150983 EMPLOYEE | Direct payment from the plan Service code 50 | — | $57K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $56K |
| BOSTON PARTNERS GLOBAL INVESTORS EIN 98-0202744 NONE | Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | — | $50K |
| RYAN LABS ASSET MANAGEMENT INC EIN 47-3503928 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $41K |
| ALLIANCEBERNSTEIN EIN 13-4064930 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $40K |
| UNION LABOR LIFE INSURANCE COMPANY EIN 13-1423090 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $37K |
| LOOMIS SAYLES LP EIN 04-3200030 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $37K |
| MEKETA INVESTMENT GROUP EIN 04-2659023 NONE | Investment management fees paid directly by plan; Other investment fees and expenses; Investment management Service code 28 | — | $30K |
| COMMONWEALTH OF MASSACHUSETTS EIN 04-6002284 NONE | Other services; Direct payment from the plan Service code 49 | — | $21K |
| SEGAL ROITMAN LLP EIN 04-2489114 NONE | Legal; Direct payment from the plan Service code 29 | — | $20K |
| O'REILLY, GROSSO GROSS & JONES PC EIN 04-3318596 NONE | Legal; Direct payment from the plan Service code 29 | — | $17K |
| BMO HARRIS BANK NA EIN 36-2085229 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $12K |
| DAVIS VISION EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $10K |
| ZELIS CLAIMS INTEGRITY INC EIN 47-4319823 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $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 | 1,912 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 779 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,691 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AMALGAMATED LIFE INSURANCE COMPANY | 2,400 | $199K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 1,937 | $158K |
| Other | AMALGAMATED LIFE INSURANCE COMPANY | 2,400 | $199K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,400 | — |
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.