| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEALTH PLANS, INC.5 Filed as: HEALTH PLANS | 1500 WEST DRIVE PARK WESTBOROUGH, MA 02199 | HCC LIFE INSURANCE | $27K | $64K | $91K | 51.94% |
| ALLAN MCCLEAN3 | C/O LYNCH ASSOCIATES 200 CLARENDON STREET BOSTON, MA 02199 | HCC LIFE INSURANCE | $3K | — | $3K | 1.70% |
| BLUE CROSS BLUE SHIELD OF FLORIDA5 Filed as: BLUE CROSS AND BLUE SHIELD OF MA | 101 HUNTINGTON AVE BOSTON, MA 02199 | BLUE CROSS AND BLUE SHIELD OF MA | — | $5K | $5K | 8.71% |
| ALLAN MCLEAN Filed as: ALLAN MC CLEAN | C/O LYNCH ASSOCIATES 200 CLARENDON STREET BOSTON, MA 02199 | BLUE CROSS AND BLUE SHIELD OF MA | $3K | — | $3K | 4.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH PLANS INC EIN 04-2734278 THIRD PARTY ADMINISTRATOR | Claims processing; Other services Service code 12 | 1500 WEST PARK DRIVE WESTBOROUGH, MA 01581 | $92K |
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 | 151 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HCC LIFE INSURANCE | 151 | $175K |
| Dental | BLUE CROSS AND BLUE SHIELD OF MA | 151 | $60K |
| Vision | HCC LIFE INSURANCE | 151 | $175K |
| Prescription drug | HCC LIFE INSURANCE | 151 | $175K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE | 151 | $175K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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.