| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 | — | THE UNION LABOR LIFE INSURANCE COMPANY | $6K | — | $6K | 1.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MA. EIN 04-1045815 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $3.0M |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $1.5M |
| DELTA DENTAL EIN 04-6143185 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $714K |
| THE SEGAL CO (EASTERN STATES), INC EIN 13-1835864 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $305K |
| CMIT SOLUTIONS OF BOSTON EIN 27-0903009 NONE | Direct payment from the plan; Other services Service code 49 | — | $200K |
| KATE A FOSSEL EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $181K |
| CHRISTINA CLEGG EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $173K |
| BRIDGEWAY BENEFIT TECHNOLOGIES LLC EIN 52-1796473 NONE | Direct payment from the plan; Other services Service code 49 | — | $145K |
| SEGAL ROITMAN LLP EIN 04-2489114 NONE | Legal; Direct payment from the plan Service code 29 | — | $112K |
| MARC R LYLE EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $109K |
| JONATHAN P ASHWELL EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $107K |
| 617 MEDIA GROUP LLC EIN 90-1252805 NONE | Direct payment from the plan; Other services Service code 49 | — | $104K |
| GLENN TROY EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $104K |
| NATHAN GOLDSTEIN EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $103K |
| DONNA A CARR EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| KRISTIN K WOODRUFF EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $95K |
| LOOMIS SAYLES & COMPANY EIN 04-3200030 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $95K |
| STATE STREET GLOBAL ADVISORS EIN 81-4017137 NONE | Investment management; Other fees; Custodial (other than securities); Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Custodial (securities) Service code 18 | — | $89K |
| SCHULTHEIS & PANETTIERI LLP EIN 13-1577780 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $89K |
| JENNIFER JAIME EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $88K |
| EMELLY B ROJAS EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $81K |
| MAXIELLE DUMAIS EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $80K |
| ROBERT W OCONNOR EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $78K |
| INGRID E ROSALES EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| CORRENTE LAW CORPORATION EIN 06-1484539 ATTORNEY | Legal; Direct payment from the plan Service code 29 | — | $75K |
| O'REILLY, GROSSO, GROSS & JONES, PC EIN 04-3318596 NONE | 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 |
| SHANNON METILLINOS EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $73K |
| PATRICIA A HAGLER EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $71K |
| EMELYN ORTOLAZA EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $58K |
| STATE STREET BANK & TRUST CO. EIN 04-1867445 NONE | Investment management; Float revenue; Other fees; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $57K |
| LOUIS A MANDARINI III EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $54K |
| DAVIS VISION EIN 11-3051991 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $52K |
| YANNA NIEVES EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $51K |
| ELIZABETH RAY EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $49K |
| JANINE M DIGIACOMO EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $45K |
| GRASIELA DACOSTA EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $38K |
| MICHAEL TRACIA EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $37K |
| MEGHANN VERGATO EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $36K |
| COLIN M MCANARNEY EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $35K |
| LOOMIS SAYLES TRUST COMPANY EIN 20-8080381 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $33K |
| JOSEPH D TRANGHESE EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $31K |
| RACHEL GHIDONI EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $30K |
| CHRISTOPHER E RAY EIN 04-2214296 NONE | Employee (plan); Direct payment from the plan Service code 30 | — | $30K |
| MARY LAWLOR EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $29K |
| MADELEINE M MASOTTA EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $28K |
| SHANNON M HALBETT EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $28K |
| JANET P MAHONEY EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $28K |
| ALEX M. FOSSEL EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $26K |
| VIVIAN V CUCCHIARA EIN 04-2214296 NONE | Direct payment from the plan; Employee (plan) Service code 30 | — | $26K |
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 | 10,853 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 77 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 10,930 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 10,462 | $320K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 10,934 | $388K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 10,462 | $320K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 10,934 | — |
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."
No prospect flags tripped on this filing.