| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE Filed as: DIGITAL INSURANCE AGENCY INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC, | $57K | — | $57K | 2.99% |
| DIGITAL INSURANCE LLC Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 9.43% |
| DIGITAL INSURANCE LLC Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $1K | $1K | 3.45% |
| DIGITAL INSURANCE LLC Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 15.00% |
| DIGITAL INSURANCE LLC Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $344 | $344 | 3.66% |
| DIGITAL INSURANCE LLC Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $425 | — | $425 | 12.00% |
| DIGITAL INSURANCE LLC Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $123 | $123 | 3.47% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SEIU LOCAL 888 EIN 05-0578962 COMMON MEMBERS | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 25 BRAINTREE HILL OFFICE PARK BRAINTREE, MA 02184 | $118K |
| BLUE CROSS BLUE SHIELD OF MASS EIN 04-1045815 NONE | Contract Administrator Service code 13 | 1 ENTERPRISE DRIVE QUINCY, MA 02129 | $21K |
| PARAGON CORPORATION EIN 04-3358691 NONE | Consulting (general) Service code 16 | 1 DEVONSHIRE PLACE BOSTON, MA 02109 | $15K |
| MANZI & ASSOCIATES LLC EIN 04-3508036 NONE | Accounting (including auditing) Service code 10 | 855 TURNPIKE STREET NORTH ANDOVER, MA 01845 | $15K |
| O'BRIEN, RILEY & RYAN PC EIN 04-3176941 NONE | Accounting (including auditing) Service code 10 | 30 BRAINTREE HILL OFFICE PARK BRAINTREE, MA 02184 | $11K |
| F L PUTNAM EIN 01-0403396 INVESTMENT ADVISOR | Investment advisory (plan) Service code 27 | 20 WILLIAMS STREET WELLESLEY, MA 02481 | $11K |
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 | 351 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 351 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC, | 283 | $1.9M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 92 | $4K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 0 | $32K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 92 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 283 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.