| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WEBBER & GRINNELL EMPLOYEE BENEFITS3 Filed as: WEBBER AND GRINNELL EMPL. BEN. LLC | 8 NORTH KING STREET NORTHAMPTON, MA 01060 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $828 | $828 | 10.55% |
| WEBBER & GRINNELL EMPLOYEE BENEFITS Filed as: WEBBER AND GRINNELL EMPLOYEE B | 98 LOWER WESTFIELD ROAD SUITE 301 HOLYOKE, MA 01040 | GUARDIAN LIFE INSURANCE COMPANY | $740 | — | $740 | 27.49% |
| CROWN RISK MANAGEMENT, LLC Filed as: BULFINCH GROUP INSRUANCE AGY L | 160 GOULD ST #310 NEEDHAM, MA 02494 | GUARDIAN LIFE INSURANCE COMPANY | $4 | — | $4 | 0.15% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KARA ADAMITES PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 55 MAIN STREET CHICOPEE, MA 01020 | $46K |
| NICHOLAS LAPIER CPA PC EIN 32-0058525 AUDITORS | Accounting (including auditing) Service code 10 | — | $10K |
| SEGAL ROITMAN LLP ATTORNEYS | Legal; Direct payment from the plan Service code 29 | 111 DEVONSHIRE STREET BOSTON, MA 02109 | $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 | 34 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 34 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NEW ENGLAND INC | 30 | $345K |
| Dental | GUARDIAN LIFE INSURANCE COMPANY | 19 | $3K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 93 | $8K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 93 | $8K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 93 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 93 | — |
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.