| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GIRARD FINANCIAL GROUP LLC3 | 7 S MAIN STREET MILLBURY, MA 01527 | SYMETRA LIFE INSURANCE | $20K | $12K | $32K | 15.98% |
| JAMES R NELLIGAN & ASSOCIATES LLC3 Filed as: JAMES NELLIGAN | 1933 STATE RTE 35 STE 368 WALL, NJ 07119 | SYMETRA LIFE INSURANCE | — | $12K | $12K | 5.98% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 04-1045815 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $1.4M |
| EMPLOYEE C EIN 04-2219623 PLAN EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $186K |
| UNION BANK & TRUST EIN 41-1267434 NONE | Custodial (securities); Investment management fees paid directly by plan; Investment management Service code 19 | — | $107K |
| EMPLOYEE D EIN 04-2219623 PLAN EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $105K |
| MANZI & ASSOCIATES LLC EIN 04-3508036 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $100K |
| EMPLOYEE B EIN 04-2219623 PLAN EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $95K |
| EMPLOYEE E EIN 04-2219623 PLAN EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| BRIDGEWAY EIN 52-1796478 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $80K |
| EMPLOYEE A EIN 04-2219623 PLAN EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $68K |
| MEKETA INVESTMENT GROUP EIN 04-2659023 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $47K |
| SUNSET LANDSCAPING NONE | Other services; Direct payment from the plan Service code 49 | 173 HENSHAW ST LEICESTER, MA 01524 | $29K |
| EMPLOYEE F EIN 04-2219623 PLAN EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $24K |
| AQUARIUS CAPITAL SOLUTIONS GROUP EIN 32-0020166 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $24K |
| TPG HEALTHCARE CONSULTING EIN 20-8069824 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $23K |
| CONGRESS WEALTH MANAGEMENT EIN 04-2848965 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $21K |
| CXC SOLUTIONS NONE | Direct payment from the plan; Consulting (general) Service code 16 | 14200 MIDWAY ROAD, SUITE 106 DALLAS, TX 75244 | $19K |
| ENCOMPASS NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 52 MAIN STREET MANCHESTER, CT 06042 | $19K |
| BOSTON BENEFIT PARTNERS EIN 04-3422351 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $12K |
| INTERCONTINENTAL REAL ESTATE EIN 04-3613055 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $7K |
| DAVIS VISION EIN 11-3051991 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $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 | 1,229 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 69 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,298 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | SYMETRA LIFE INSURANCE | 1,298 | $202K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD | 1,298 | $312K |
| Other | SYMETRA LIFE INSURANCE | 1,298 | $202K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,298 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.