| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: STRATEGIC BENEFIT ADVISORS, INC. | 144 TURNPIKE ROAD, SUITE 330 SOUTHBOROUGH, MA 01772 | AETNA LIFE INSURANCE CO. | $40K | — | $40K | 4.99% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS, LLC | 144 TURNPIKE ROAD, SUITE 330 SOUTHBOROUGH, MA 01772 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $30K | $10K | $40K | 6.99% |
| CAROLYN JOHNSON3 | INTERNATIONAL EMPLOYEE BENEFIT SOLU 160 GUTHRIE LN, SUITE 22 BRENTWOOD, CA 94513 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $45K | — | $45K | 10.96% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MA, LLC | 144 TURNPIKE RD, STE 330 SOUTHBOROUGH, MA 01772 | UNITEDHEALTHCARE INSURANCE COMPANY | $13K | — | $13K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS, LLC | DBA STRATEGIC BENEFIT ADVISORS 144 TURNPIKE ROAD, SUITE 330 SOUTHBOROUGH, MA 01772 | METROPOLITAN PROPERTY AND CASUALTY INSURANCE CO. | $6K | $1K | $7K | 11.82% |
| CAROLYN JOHNSON3 | INTERNATIONAL EMPLOYEE BENEFIT SOLU 160 GUTHRIE LN, SUITE 22 BRENTWOOD, CA 94513 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | — | $5K | 10.91% |
| ENROLLEASE3 Filed as: STRATEGIC BENEFIT ADVISORS, INC. | 144 TURNPIKE ROAD, SUITE 330 SOUTHBOROUGH, MA 01772 | FEDERAL INSURANCE COMPANY | $412 | — | $412 | 5.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASSACHUS EIN 04-1045815 MEDICAL ADMIN | Claims processing Service code 12 | — | $678K |
| DENTAL SERVICE OF MASSACHUSETTS INC EIN 04-6143185 DENTAL ADMIN | Claims processing Service code 12 | 465 MEDFORD STREET BOSTON, MA 02129 | $102K |
| LIBERTY LIFE ASSURANCE COMPANY OF B EIN 04-6076039 STD ADMIN SERVICES | Claims processing Service code 12 | — | $67K |
| CVS PHARMACY, INC EIN 05-0340626 RX ADMIN | Claims processing Service code 12 | 1 CVS DR. WOONSOCKET, RI 02895 | $33K |
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 | 1,382 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,382 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH ALLIANCE MEDICAL PLANS | 64 | $1.9M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 56 | $413K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 2,676 | $134K |
| Life insurance(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 2,461 | $843K |
| Long-term disability(2 contracts, 2 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 1,382 | $613K |
| Other(5 contracts, 5 carriers) | AETNA LIFE INSURANCE CO. | 4,486 | $910K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,486 | — |
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.