| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GREGORY B JOHNSON3 | 70 CONCORD RD ACTON, MA 01720 | BLUECROSS BLUESHIELD OF MASSACHUSETTS, INC. | $21K | — | $21K | 0.97% |
| LIVELY INSURANCE BROKERAGE, INC.3 | 1141 SOUTH ST. STE 3 FITCHBURG, MA 01420 | BLUECROSS BLUESHIELD OF MASSACHUSETTS, INC. | $15K | — | $15K | 0.68% |
| HP PLANNING LLC3 | 535 CONNECTICUT AVE STE 502 NORWALK, CT 06854 | BLUECROSS BLUESHIELD OF MASSACHUSETTS, INC. | $6K | — | $6K | 0.30% |
| INDIGO INSURANCE SERVICES3 | NOT PROVIDED WORCESTER, MA 01608 | MONY LIFE INSURANCE COMPANY OF AMERICA | — | $5K | $5K | 7.00% |
| GREGORY B JOHNSON3 | 70 CONCORD RD ACTON, MA 01720 | MONY LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 5.50% |
| LIVELY INSURANCE BROKERAGE, INC.3 | 1141 SOUTH ST. STE 3 FITCHBURG, MA 01420 | MONY LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 4.11% |
| HP PLANNING LLC3 | NOT PROVIDED WORCESTER, MA 01609 | MONY LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 1.39% |
| GREGORY B JOHNSON3 Filed as: GREGORY JOHNSON | 70 CONCORD RD ACTON, MA 01720 | VISION SERVICE PLAN | $370 | — | $370 | 3.77% |
| LIVELY INSURANCE BROKERAGE, INC.3 Filed as: LIVELY INSURANCE BROKERAGE | 1141 SOUTH ST. STE 3 FITCHBURG, MA 01420 | VISION SERVICE PLAN | $256 | — | $256 | 2.61% |
| HP PLANNING LLC3 | 1100 SUMMER ST FL 4 STAMFORD, CT 06905 | VISION SERVICE PLAN | $228 | — | $228 | 2.33% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | — | $4K | — |
| LIVELY INSURANCE BROKERAGE, INC.3 Filed as: LIVELY INSURANCE BROKERAGE INC. | 1141 SOUTH ST #3 FITCHBURG, MA 01420 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | — |
| HP PLANNING LLC3 | 1100 SUMMER STREET STAMFORD, CT 06905 | AMERICAN FIDELITY ASSURANCE COMPANY | $972 | — | $972 | — |
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 | 130 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF MASSACHUSETTS, INC. | 351 | $2.2M |
| Dental | BLUECROSS BLUESHIELD OF MASSACHUSETTS, INC. | 351 | $2.2M |
| Vision | VISION SERVICE PLAN | 87 | $10K |
| Life insurance | MONY LIFE INSURANCE COMPANY OF AMERICA | 158 | $78K |
| Short-term disability(2 contracts, 2 carriers) | MONY LIFE INSURANCE COMPANY OF AMERICA | 158 | $78K |
| Long-term disability | MONY LIFE INSURANCE COMPANY OF AMERICA | 158 | $78K |
| Other | AMERICAN FIDELITY ASSURANCE COMPANY | 119 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 351 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.