| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BLUE BENEFIT ADMINISTRATORS OF MASS5 Filed as: BLUE BENEFIT ADMINSITRATORS OF MASS | PO BOX 55917 BOSTON, MA 02205 | NA SPECIALITY INS. (SWISS RE) | — | $331K | $331K | 46.48% |
| PINNACLE HR SOLUTIONS3 | 117 KENDRICK STREET STE 300 NEEDHAM, MA 02492 | NA SPECIALITY INS. (SWISS RE) | — | $232K | $232K | 32.65% |
| PFG BENEFITS, INC.3 Filed as: PFG BENEFITS INC | 117 KENDRICK STREET STE 300 NEEDHAM HEIGHTS, MA 02494 | HARTFORD LIFE AND ACCIDENT | $69K | — | $69K | 14.01% |
| INDIGO INSURANCE SERVICES3 Filed as: INDIGO INSURANCE SERVICES LLC | 100 FRONT STREET 20TH FLOOR WORCESTER, MA 01608 | HARTFORD LIFE AND ACCIDENT | — | $32K | $32K | 6.52% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL MIDWEST LIMITED | 1591 GALBRAITH AVE SE GRAND RAPIDS, MI 49546 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 0.91% |
| TIMOTHY DOHERTY3 | SUITE 702 75 SECOND AVE NEEDHAM, MA 02494 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $12K | — | $12K | 11.41% |
| M FINANCIAL HOLDINGS INC3 | 1125 NW COUCH ST SUITE 900 PORTLAND, OR 97209 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 1.74% |
| PFG BENEFITS, INC.3 Filed as: PFG BENEFITS INC | 117 KENDRICK STREET STE 300 NEEDHAM HEIGHTS, MA 02494 | DELTA DENTAL OF MASSACHUSETTS | $11K | $54K | $64K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AAFCPAS, INC. EIN 04-2571780 AUDITOR | Accounting (including auditing) Service code 10 | 50 WASHINGTON STREET WESTBOROUGH, MA 01581 | $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 | 647 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 647 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | NA SPECIALITY INS. (SWISS RE) | 431 | $711K |
| Dental | DELTA DENTAL OF MASSACHUSETTS | 1,000 | $0 |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 624 | $496K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 624 | $496K |
| Long-term disability(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 624 | $598K |
| Prescription drug | RXBENEFITS, INC. | 445 | $0 |
| Stop-loss / reinsurancereinsurance | SWISS RE CORPORATE SOLUTIONS AMERICA INS. CORP | 436 | $712K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,000 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.