| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: DIGITAL INSURANCE AGENCY INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC, | $40K | $10K | $50K | 2.01% |
| ENROLLEASE3 Filed as: DIGITAL INSURANCE AGENCY INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $121 | $1K | 13.92% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY, STE 1950 ATLANTA, GA 30339 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $346 | $45 | $391 | 12.46% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SEIU LOCAL 888 EIN 05-0578962 COMMON MEMBERS | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 25 BRAINTREE HILL OFFICE PARK BRAINTREE, MA 02184 | $128K |
| BLUE CROSS BLUE SHIELD OF MASS EIN 04-1045815 NONE | Direct payment from the plan; Claims processing Service code 12 | 1 ENTERPRISE DRIVE QUINCY, MA 02129 | $26K |
| F L PUTNAM EIN 01-0403396 INVESTMENT ADVISOR | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | 20 WILLIAMS STREET WELLESLEY, MA 02481 | $18K |
| MANZI & ASSOCIATES LLC EIN 04-3508036 NONE | Direct payment from the plan; 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); Direct payment from the plan Service code 10 | 35 BRAINTREE HILL OFFICE PARK BRAINTREE, MA 02184 | $14K |
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 | 477 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 477 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC, | 292 | $2.5M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 80 | $3K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 80 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 292 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.