| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA5 Filed as: BLUE BENEFIT ADMINISTRATORS OF MA | P.O. BOX 55917 BOSTON, MA 02205 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | — | $91K | $91K | 21.63% |
| BENEFIT REPORTS INS. SERVICES, INC.3 Filed as: BENEFIT REPORTS INSURANCE | 554 WASHINGTON STREET WELLESLEY, MA 02482 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | — | $49K | $49K | 11.75% |
| BENEFIT REPORTS INS. SERVICES, INC.3 Filed as: BENEFIT REPORTS INS. SERV., INC. | 554 WASHINGTON STREET WELLESLEY, MA 02482 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 4.48% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EBPA LLC TPA | Contract Administrator Service code 13 | P.O. BOX 2365 SOUTH BURLINGTON, VT 054072365 | $8K |
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 | 159 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | 173 | $421K |
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | 173 | $421K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 158 | $227K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 158 | $227K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 158 | $227K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 173 | — |
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.