| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT STRATEGY PARTNERS, LLC3 Filed as: BENEFIT STRATEGY PARTNERS LLC | 100 CUMINGS CENTER, SUITE 441P BEVERLY, MA 01915 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $98K | $3K | $100K | 1.45% |
| VIATOR INTERNATIONAL LLC3 Filed as: VIATOR INTERNATIONAL | UNKNOWN WALTHAM, MA 02453 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $41K | $0 | $41K | 8.04% |
| BENEFIT STRATEGY PARTNERS, LLC3 Filed as: BENEFIT STRATEGY PARTNERS LLC | 100 CUMINGS CENTER, SUITE 441P BEVERLY, MA 01915 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | $0 | $11K | 4.63% |
| BENEFIT STRATEGY PARTNERS, LLC3 Filed as: BENEFIT STRATEGY PARTNERS LLC | 100 CUMINGS CENTER, SUITE 441P BEVERLY, MA 01915 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $25K | $0 | $25K | 14.92% |
| BENEFIT STRATEGY PARTNERS, LLC3 Filed as: BENEFIT STRATEGY PARTNERS LLC | 100 CUMINGS CENTER, SUITE 441P BEVERLY, MA 01915 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $3K | $0 | $3K | 8.22% |
| VIATOR INTERNATIONAL LLC3 Filed as: VIATOR INTERNATIONAL | UNKNOWN WALTHAM, MA 02453 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
No Schedule C service providers reported on this filing.
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 | 400 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 15 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 415 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 900 | $7.5M |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | 464 | $32K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 400 | $246K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 400 | $246K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 900 | $6.9M |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 400 | $411K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 900 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.