| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE FOLEY INSURANCE AGENCY, INC.3 Filed as: FOLEY INSURANCE GROUP | 37 ELM STREET WEST SPRINGFIELD, MA 01089 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $763 | $763 | 9.85% |
| FOLEY CONNELLY BENEFITS GROUP | 37 ELM STREET WEST SPRINGFIELD, MA 01089 | GUARDIAN LIFE INSURANCE COMPANY | $1K | — | $1K | — |
| WEBBER & GRINNELL EMPLOYEE BENEFITS Filed as: WEBBER AND GRINNELL EMPLOYEE B | 98 LOWER WESTFIELD ROAD SUITE 301 HOLYOKE, MA 01040 | GUARDIAN LIFE INSURANCE COMPANY | $114 | — | $114 | — |
| CFS HARTFORD LLC | 197 SCOTT SWAMP ROAD FARMINGTON, CT 06032 | GUARDIAN LIFE INSURANCE COMPANY | $31 | — | $31 | — |
| BULFINCH GROUP INSURANCE AGY L | 160 GOULD STREET SUITE 310 NEEDHAM, MA 02494 | GUARDIAN LIFE INSURANCE COMPANY | $1 | — | $1 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KARA ADAMITES PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 55 MAIN STREET CHICOPEE, MA 01020 | $47K |
| LAPIER DILLON & ASSOCIATES, P.C. EIN 32-0048525 AUDITORS | Accounting (including auditing) Service code 10 | — | $11K |
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 | 38 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 38 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NEW ENGLAND INC | 31 | $352K |
| Dental | GUARDIAN LIFE INSURANCE COMPANY | 28 | $0 |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 90 | $8K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 90 | $8K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 90 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 90 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.