| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS LLC | 333 ELM STREET SUITE 300 DEDHAM, MA 02026 | TUFTS INSURANCE COMPANY | $10K | $7K | $17K | 1.51% |
| DAVID HOJLO3 | CORBCO 687 HIGHLAND AVE., SUITE 11-12 NEEDHAM, MA 02494 | TUFTS INSURANCE COMPANY | $8K | — | $8K | 0.76% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS LLC | 333 ELM STREET SUITE 300 DEDHAM, MA 02026 | TUFTS ASSOCIATED HMO, INC. | $6K | $5K | $11K | 1.83% |
| DAVID HOJLO3 | CORBCO 687 HIGHLAND AVE, SUITE 11-12 NEEDHAM, MA 02494 | TUFTS ASSOCIATED HMO, INC. | $5K | — | $5K | 0.85% |
| DAVID HOJLO3 | 687 HIGHLAND AVENUE STE. 11-12 NEEDHAM HEIGHTS, MA 02494 | DELTA DENTAL | $5K | — | $5K | 4.10% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 333 ELM STREET 3RD FLOOR DEDHAM, MA 02026 | CIGNA GROUP INSURANCE | $5K | $2K | $7K | 6.07% |
| DAVID HOJLO3 Filed as: DAVID LAWRENCE HOJLO | 687 HIGHLAND AVENUE NEEDHAM HEIGHTS, MA 02494 | CIGNA GROUP INSURANCE | $5K | — | $5K | 4.25% |
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 | 146 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | TUFTS INSURANCE COMPANY | 177 | $1.7M |
| Dental | DELTA DENTAL | 317 | $129K |
| Life insurance | CIGNA GROUP INSURANCE | 146 | $120K |
| Short-term disability | CIGNA GROUP INSURANCE | 146 | $120K |
| Long-term disability | CIGNA GROUP INSURANCE | 146 | $120K |
| Other | CIGNA GROUP INSURANCE | 146 | $120K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 317 | — |
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."
No prospect flags tripped on this filing.