| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS LLC | 980 WASHINGTON STREET SUITE 325 DEDHAM, MA 02026 | TUFTS INSURANCE COMPANY | $13K | $11K | $24K | 1.18% |
| DAVID HOJLO3 | CORBCO 687 HIGHLAND AVE., SUITE 11-12 NEEDHAM, MA 02494 | TUFTS INSURANCE COMPANY | $13K | — | $13K | 0.62% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS LLC | 980 WASHINGTON STREET SUITE 325 DEDHAM, MA 02026 | TUFTS ASSOCIATED HMO, INC. | $3K | $3K | $6K | 1.42% |
| DAVID HOJLO3 | CORBCO 687 HIGHLAND AVE, SUITE 11-12 NEEDHAM, MA 02494 | TUFTS ASSOCIATED HMO, INC. | $3K | — | $3K | 0.74% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 980 WASHINGTON STREET SUITE 325 DEDHAM, MA 02026 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 3.94% |
| DAVID HOJLO3 | SUITE 11-12 687 HIGHLAND AVENUE NEEDHAM, MA 02494 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 3.05% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $29 | $29 | 0.02% |
| DAVID HOJLO3 | 687 HIGHLAND AVENUE STE. 11-12 NEEDHAM HEIGHTS, MA 02494 | DELTA DENTAL | $5K | — | $5K | 3.23% |
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 | 144 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 144 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | TUFTS INSURANCE COMPANY | 211 | $2.5M |
| Dental | DELTA DENTAL | 304 | $143K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 144 | $161K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 144 | $161K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 144 | $161K |
| Prescription drug | TUFTS ASSOCIATED HMO, INC. | 43 | $424K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 144 | $161K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 304 | — |
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.