| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK INC. | ONE WORLD FINANICAL CENTER 200 LIBERTY STREET NEW YORK, NY 10281 | TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC. | $145K | — | $145K | 4.30% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK INC. | 200 LIBERTY ST, 6TH FL. NEW YORK, NY 10281 | HUMANA INSURANCE COMPANY | $42K | — | $42K | 2.03% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS. SERVICES OF GA INC. | 1 GLENLAKE PKWY, 11TH FL. ATLANTA, GA 303283496 | HUMANA INSURANCE COMPANY | — | $10K | $10K | 0.50% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW JERSEY INC. | 350 MT. KEMBLE AVENUE MORRISTOWN, NJ 07960 | DELTA DENTAL OF MASSACHUSETTS | $14K | — | $14K | 3.68% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW JERSEY INC. | ATTN DANIEL MCLAUGHLIN 350 MT KEMBLE AVE MORRISTOWN, NJ 07962 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $38K | $2K | $40K | 11.75% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK INC. | 200 LIBERTY ST, 6TH FL. NEW YORK, NY 102810001 | HUMANADENTAL INSURANCE COMPANY | $4K | — | $4K | 3.50% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS. SVCS OF GA INC. | 1 GLENLAKE PKWY, 11TH FL. ATLANTA, GA 303283496 | HUMANADENTAL INSURANCE COMPANY | — | $2K | $2K | 1.36% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK INC. | ONE WORLD FINANCIAL CTR 200 LIBERTY ST, 6TH FL. NEW YORK, NY 10281 | TUFTS INSURANCE COMPANY | $4K | — | $4K | 4.31% |
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 | 472 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 476 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORG. INC. | 697 | $5.5M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF MASSACHUSETTS | 721 | $498K |
| Vision | HUMANA INSURANCE COMPANY | 142 | $2.1M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 472 | $345K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 472 | $345K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 472 | $345K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 472 | $345K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 721 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.