No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MA. EIN 04-1045815 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $5.2M |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.2M |
| DELTA DENTAL EIN 04-6143185 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $723K |
| HMC HEALTHWORKS INC. NONE | Claims processing; Direct payment from the plan Service code 12 | 181 COMMODORE DRIVE JUPITER, FL 33477 | $405K |
| THE SEGAL CO (EASTERN STATES), INC EIN 13-1835864 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $296K |
| LOUIS A MANDARINI III EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $159K |
| SEGAL ROITMAN, LLP EIN 04-2489114 NONE | Legal; Direct payment from the plan Service code 29 | — | $143K |
| KATE A FOSSEL EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $142K |
| CHRISTINA CLEGG EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $136K |
| STATE STREET GLOBAL ADVISORS EIN 81-4017137 NONE | Custodial (other than securities); Investment management; Custodial (securities); Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Other fees Service code 18 | — | $127K |
| LOOMIS SAYLES & COMPANY EIN 04-3200030 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $118K |
| GLENN TROY EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $111K |
| CMIT SOLUTIONS EIN 27-0903009 NONE | Direct payment from the plan; Other services Service code 49 | — | $110K |
| JONATHAN P ASHWELL EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $110K |
| MARC R LYLE EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $106K |
| KRISTIN K WOODRUFF EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $91K |
| SCHULTHEIS & PANETTIERI, LLP EIN 13-1577780 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $91K |
| O'REILLY, GROSSO, GROSS & JONES, PC EIN 04-3318596 NONE | Legal; Direct payment from the plan Service code 29 | — | $79K |
| JENNIFER JAIME EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $77K |
| CORRENTE LAW CORPORATION EIN 06-1484539 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $75K |
| MEKETA INVESTMENT GROUP EIN 04-2659023 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $75K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Direct payment from the plan; Other services Service code 49 | — | $72K |
| STATE STREET BANK & TRUST CO. EIN 04-1867445 NONE | Custodial (other than securities); Direct payment from the plan; Custodial (securities) Service code 18 | — | $70K |
| MAXIELLE DUMAIS EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $67K |
| ROBERT W OCONNOR EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $67K |
| EMELLY B ROJAS EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $66K |
| PATRICIA A HAGLER EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $65K |
| GAYLE D OTIS EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $63K |
| SHANNON METILINOS EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $62K |
| JANINE M. DIGIACOMO EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $59K |
| EMELYN ORTOLAZA EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $57K |
| 617 MEDIA GROUP NONE | Direct payment from the plan; Other fees Service code 50 | 282 MOODY STREET SUITE 314 WALTHAM, MA 02453 | $54K |
| GAIL G BAGNI EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| DONNA A CARR EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| DAVIS VISION EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $53K |
| INGRID E. ROSALES EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $53K |
| MEGHANN VERGATO EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $52K |
| YANNA NIEVES EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $49K |
| JANET P MAHONEY EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $43K |
| SHANNON M HALBETT EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $41K |
| VIVIAN V CUCCHIARA EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $40K |
| ELIZABETH RAY EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $37K |
| TELLIGEN INC EIN 42-0992483 NONE | Other services; Direct payment from the plan Service code 49 | — | $33K |
| CELINE M AUCLAIR EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $33K |
| MICHAEL TRACIA EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $31K |
| JOSEPH D TRANGHESE EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $29K |
| RUBIN AND RUDMAN, LLP NONE | Legal; Direct payment from the plan Service code 29 | 53 STATE STREET BOSTON, MA 02109 | $15K |
| PBI NONE | Other fees; Direct payment from the plan Service code 50 | 333 SOUTH SEVENTH STREET SUITE 2400 MINNEAPOLIS, MN 55402 | $12K |
| KONICA MINOLTA PREMIER EIN 94-1686094 NONE | Direct payment from the plan; Other services Service code 49 | — | $11K |
| THOMAS C. TROY JR EIN 04-2214296 EMPLOYEE | Direct payment from the plan; Trustee (individual) Service code 20 | — | $10K |
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 | 10,174 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 84 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 10,258 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 10,269 | $281K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 10,725 | $367K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 10,269 | $281K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,725 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.