| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | RELIASTAR LIFE INSURANCE COMPANY | $15K | $3K | $18K | 0.75% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | SYMETRA LIFE INSURANCE COMPANY | $110K | — | $110K | 9.50% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | SYMETRA LIFE INSURANCE COMPANY | $83K | — | $83K | 9.50% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | LIBERTY MUTUAL ASSURANCE COMPANY OF BOSTON | $14K | $8K | $21K | 2.84% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | VISION SERVICE PLAN | $7K | — | $7K | 1.13% |
| AGIS NETWORK INC3 Filed as: AGIS NETWORK, INC. | 2122 KRATKY ROAD ST. LOUIS, MO 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $33K | $114 | $33K | 7.39% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $33K | $49 | $33K | 7.38% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | AETNA LIFE INSURANCE COMPANY | $49K | — | $49K | 15.22% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | ACE AMERICAN INSURANCE COMPANY | $23K | — | $23K | 15.00% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | ACE AMERICAN INSURANCE COMPANY | $8K | — | $8K | 14.63% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | ONE INTERNATIONAL PLACE 16TH FLOOR BOSTON, MA 02110 | ACE AMERICAN INSURANCE COMPANY | $213 | — | $213 | 0.37% |
| IKON BENEFITS GROUP, INC.3 Filed as: IKON BENEFITS GROUP | AVENIDA LUIS MUNOZ RIVERA 270 PH-1 SAN JUAN, PR 00918 | TRIPLE S SALUD, INC. | $1K | — | $1K | 5.00% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | AETNA INTERNATIONAL | $2K | — | $2K | 15.00% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | LIBERTY LIFE ASSUSRANCE COMPANY OF BOSTON | — | $54 | $54 | 1.04% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $44 | $44 | 1.07% |
| SAPERS & WALLACK3 | 275 WASHINGTON STREET SUITE 110 NEWTON, MA 02458 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | — | $11 | $11 | 3.97% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TOTAL HEALTH PLAN, INC. EIN 04-2918943 CLAIMS ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $858K |
| AETNA EIN 06-6033492 CLAIMS ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $846K |
| DELTA DENTAL OF MA EIN 04-6143185 CLAIMS ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $238K |
| SAPERS & WALLACK EIN 04-2319659 INSURANCE BROKER | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | — | $126K |
| PAYFLEX EIN 91-1774434 FSA ADMINISTRATION | Claims processing; Contract Administrator Service code 12 | — | $56K |
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 | 3,252 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 3,252 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 45 | $346K |
| Dental | AETNA LIFE INSURANCE COMPANY | 45 | $325K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 2,788 | $944K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 6,563 | $2.4M |
| Short-term disability(3 contracts, 2 carriers) | LIBERTY LIFE ASSUSRANCE COMPANY OF BOSTON | 45 | $10K |
| Long-term disability | LIBERTY MUTUAL ASSURANCE COMPANY OF BOSTON | 3,247 | $755K |
| Stop-loss / reinsurancereinsurance(2 contracts) | SYMETRA LIFE INSURANCE COMPANY | 1,645 | $2.0M |
| Other(4 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 3,252 | $664K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,563 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.