| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GEORGE BLAISDELL3 Filed as: GEORGE W. BLAISDELL | UNKNOWN BOSTON, MA 02111 | ALLWAYS HEALTH PARTNERS | $25K | $0 | $25K | 1.23% |
| USI INSURANCE SERVICES LLC3 | UNKNOWN BOSTON, MA 02111 | ALLWAYS HEALTH PARTNERS | $13K | $0 | $13K | 0.65% |
| GEORGE BLAISDELL3 | UNKNOWN BOSTON, MA 02111 | BLUE CROSS BLUE SHILED OF MASSACHUSETTS, INC. | $3K | $0 | $3K | 2.30% |
| USI INSURANCE SERVICES LLC3 | UNKNOWN BOSTON, MA 02111 | BLUE CROSS BLUE SHILED OF MASSACHUSETTS, INC. | $2K | $0 | $2K | 1.57% |
| INDIGO INSURANCE SERVICES3 | UNKNOWN BOSTON, MA 02199 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $0 | $4K | $4K | 7.00% |
| GEORGE BLAISDELL3 | UNKNOWN HAMPSTEAD, NH 03811 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 6.52% |
| USI INSURANCE SERVICES LLC3 | UNKNOWN PHOENIX, AZ 85016 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 4.86% |
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 | 193 | 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) | 193 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ALLWAYS HEALTH PARTNERS | 122 | $2.1M |
| Dental | BLUE CROSS BLUE SHILED OF MASSACHUSETTS, INC. | 231 | $125K |
| Vision | BLUE CROSS BLUE SHILED OF MASSACHUSETTS, INC. | 231 | $125K |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 193 | $63K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 193 | $63K |
| Prescription drug | ALLWAYS HEALTH PARTNERS | 122 | $2.1M |
| Other | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 193 | $63K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 231 | — |
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.