| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHANDOR INSURANCE AGENCY LLC3 | — | HARVARD PILGRIM HEALTH CARE INC. | $120K | — | $120K | 0.61% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PAULINE WHOOTEN EIN 04-1149051 EMPLOYEE | Employee (plan) Service code 30 | — | $63K |
| ROBERT CHEVERIE EIN 06-1335139 NONE | Legal; Direct payment from the plan Service code 29 | — | $61K |
| MODERN ASSISTANCE EIN 04-3014253 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $51K |
| ROGER GILL EIN 04-1149051 EMPLOYEE | Employee (plan) Service code 30 | — | $50K |
| SEI EIN 23-1707341 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $42K |
| MANZI & ASSOCIATES EIN 04-3508036 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $30K |
| LYNN CURTIN EIN 04-1149051 EMPLOYEE | Employee (plan) Service code 30 | — | $23K |
| HEATHER FERULLO EIN 04-1149051 EMPLOYEE | Employee (plan) Service code 30 | — | $22K |
| DOREEN MOUNT EIN 04-1149051 EMPLOYEE | Employee (plan) Service code 30 | — | $14K |
| ABACUS MANAGEMENT EIN 05-0495055 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $14K |
| ISSI EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $9K |
| CBIZ SAVITZ EIN 26-1371674 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $9K |
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 | 1,110 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 461 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,571 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ALTUS DENTAL INSURANCE COMPANY, INC. | 2,906 | $0 |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,067 | $89K |
| Prescription drug | EXPRESS SCRIPTS, INC. | 323 | $658K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 1,067 | $89K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,906 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.