| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP INC | 93 LONGWATER CIRCLE NORWELL, MA 02061 | HARVARD PILGRIM HEALTH CARE | $15K | $0 | $15K | 1.32% |
| ANTHONY F CORDEIRO INSURANCE AGENCY3 | 171 PLEASANT STREEET FALL RIVER, MA 02721 | HARVARD PILGRIM HEALTH CARE | $5K | $0 | $5K | 0.44% |
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP INC | 93 LONGWATER CIRCLE NORWELL, MA 02061 | HARVARD PILGRIM HEALTH CARE | $5K | $0 | $5K | 1.32% |
| ANTHONY F CORDEIRO INSURANCE AGENCY3 | 171 PLEASANT STREET FALL RIVER, MA 02721 | HARVARD PILGRIM HEALTH CARE | $2K | $0 | $2K | 0.44% |
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP INC | 93 LONGWATER CIRCLE NORWELL, MA 02061 | HARVARD PILGRIM HEALTH CARE | $5K | — | $5K | 1.32% |
| ANTHONY F CORDEIRO INSURANCE AGENCY3 | 171 PLEASANT STREET FALL RIVER, MA 02721 | HARVARD PILGRIM HEALTH CARE | $2K | $0 | $2K | 0.44% |
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP INC | 93 LONGWATER CIRCLE NORWELL, MA 02061 | HARVARD PILGRIM HEALTH CARE | $2K | $0 | $2K | 1.32% |
| ANTHONY F CORDEIRO INSURANCE AGENCY3 | 171 PLEASANT STREET FALL RIVER, MA 02721 | HARVARD PILGRIM HEALTH CARE | $832 | $0 | $832 | 0.44% |
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP | 120 LONGWATER DRIVE STE 120 NORWELL, MA 02061 | ALTUS DENTAL INSURANCE COMPANY | $7K | $0 | $7K | 4.20% |
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP INC | PO BOX 869 NORWELL, MA 02061 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $1K | $8K | 11.09% |
| READ INSURANCE & FINANCIAL SERVICES3 | P.O. BOX 789 ASSONET, MA 02702 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $0 | $4K | 9.54% |
| J KING INSURANCE INC3 | 5835 POST ROAD EAST GREENWICH, RI 02818 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $2K | $4K | 9.16% |
| LAURIE SEUBERT3 | 5835 POST ROAD EAST GREENWICH, RI 02818 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $796 | $252 | $1K | 2.67% |
| JAMES R SMITH INSURANCE LTD3 | 5835 POST ROAD STE 214 EAST GREENWICH, RI 02818 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $451 | $419 | $870 | 2.22% |
| JASON R SMITH3 | 5835 POST ROAD EAST GREENWICH, RI 02818 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $605 | $83 | $688 | 1.76% |
| JASON SCZEPANIAK3 Filed as: JASON C SHAPIRO | 41 BRENTON ST LITCHFIELD, NH 03052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $528 | $104 | $632 | 1.61% |
| CHRISTOPHER IHLEFELD3 | 2 TRENTON ST #2 PROVIDENCE, RI 02906 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $560 | $11 | $571 | 1.46% |
| DAVID L FLEURY3 | 545 SOUTH WATER ST PROVIDENCE, RI 02903 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $303 | $235 | $538 | 1.37% |
| THERESA CATHERINE MACMILLAN3 | 650 EAST GREENWICH AVE WEST WARWICK, RI 02893 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $407 | $46 | $453 | 1.16% |
| BEIYANIL E PENA3 | 97 LEE STREE PAWTUCKET, RI 02861 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $164 | $0 | $164 | 0.42% |
| DB INSURANCE INC3 | 10 PEACH TREE LANE DANVERS, MA 01923 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | $26 | $47 | 0.12% |
| KIMBERLY ST ONGE3 | 104 CLEARVIEW DR NORTH KINGSTON, RI 02852 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23 | $0 | $23 | 0.06% |
| CHRISTINE GORDON3 | 73 WARREN AVE PLYMOUTH, MA 02360 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | $1 | $22 | 0.06% |
| JENNIFER MORETTI3 | 143 PEQUOT TRAIL EAST GREENWICH, RI 02903 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $0 | $4 | 0.01% |
| PARTNERS BENEFIT GROUP LLC3 Filed as: PARTNERS BENEFIT GROUP INC | 93 LONGWATER CIRCLE STE 101 NORWALL, MA 02061 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $4K | $0 | $4K | 19.91% |
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 | 514 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 514 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts) | HARVARD PILGRIM HEALTH CARE | 213 | $2.1M |
| Dental | ALTUS DENTAL INSURANCE COMPANY | 419 | $159K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 514 | $86K |
| Short-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 35 | $18K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 514 | $68K |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 514 | $126K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 514 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.