| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GROUP INSURANCE SOLUTIONS, INC.3 | 33 BOSTON POST RD W SUITE 120 MARLBOROUGH, MA 01752 | UNIMERICA INSURANCE COMPANY | $62K | — | $62K | 7.50% |
| GROUP INSURANCE SOLUTIONS, INC.3 | 33 BOSTON POST ROAD WEST SUITE 120 MARLBOROUGH, MA 01752 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 3.26% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: NEW ENGLAND RHB, LLC | 1101 WORCESTER ROAD FRAMINGHAM, MA 01701 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $155 | — | $155 | 0.06% |
| CHIG INC3 Filed as: CHIG INC. | PO BOX 9011 WELLESLEY, MA 02482 | UNION SECURITY INSURANCE COMPANY | $12K | — | $12K | 16.24% |
| CHG INC.3 | PO BOX 9011 WELLESLEY, MA 02484 | UNION SECURITY INSURANCE COMPANY | $11K | — | $11K | 21.62% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA GROUP INSURANCE EIN 59-1031071 ASO SERVICE PROVIDER | Direct payment from the plan; Non-monetary compensation; Contract Administrator; Other services; Float revenue; Claims processing; Participant communication Service code 12 | — | $567K |
| GROUP INSURANCE SOLUTIONS, INC. EIN 04-3448161 BROKER/CONSULTANT | Consulting fees Service code 70 | — | $31K |
| FRAN SHEA BROKER/CONSULTANT | Consulting fees Service code 70 | 33 BOSTON POST RD W SUITE 120 MARLBOROUGH, MA 01752 | -$55 |
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 | 522 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 533 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 522 | $353K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 522 | $282K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 522 | $282K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | UNIMERICA INSURANCE COMPANY | 430 | $827K |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 522 | $331K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 522 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.