| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 HUDSON STREET 4TH FLOOR NEW YORK, NY 10014 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $37K | — | $37K | 2.76% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 5668 CONCORD, CA 94524 | DENTAL SERVICE OF MASSACHUSETTS, INC. D/B/A DELTA DENTAL | $1K | — | $1K | 1.66% |
| WEINER INSURANCE, INC.3 Filed as: WEINER COMPANY LLC | C/O FRENKEL COMPANY ACCOUNTING DEPT JERSEY CITY, NJ 07311 | DENTAL SERVICE OF MASSACHUSETTS, INC. D/B/A DELTA DENTAL | $1K | — | $1K | 1.42% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 HUDSON ST 4TH FLOOR NEW YORK, NY 10014 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 4.00% |
| FLOCKIS, INC.3 | 660 4TH STREET UNIT 334 SAN FRANCISCO, CA 94107 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $1K | $1K | 2.92% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA STREET 24TH FLOOR SAN FRANCISCO, CA 94104 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $332 | $332 | 0.86% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 HUDSON ST 4TH FLOOR NEW YORK, NY 10014 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 5.06% |
| FLOCKIS, INC.3 | 660 4TH STREET UNIT 334 SAN FRANCISCO, CA 94107 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $675 | $675 | 2.92% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 Filed as: EDGEWOOD PARTNERS INSRUANCE CENTER | 425 CALIFORNIA STREET 24TH FLOOR SAN FRANCISCO, CA 94104 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $208 | $208 | 0.90% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 HUDSON ST 4TH FLOOR NEW YORK, NY 10014 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $399 | — | $399 | 5.19% |
| FLOCKIS, INC.3 | 660 4TH STREET UNIT 334 SAN FRANCISCO, CA 94107 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $224 | $224 | 2.91% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA STREET 24TH FLOOR SAN FRANCISCO, CA 94104 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $69 | $69 | 0.90% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 HUDSON ST 4TH FLOOR NEW YORK, NY 10014 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 20.00% |
| FLOKIS, INC.3 | 660 4TH STREET UNIT 334 SAN FRANCISCO, CA 94107 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $208 | $208 | 3.01% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 HUDSON ST 4TH FLOOR NEW YORK, NY 10014 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $777 | — | $777 | 15.01% |
| FLOCKIS, INC.3 | 660 4TH STREET UNIT 334 SAN FRANCISCO, CA 94107 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $155 | $155 | 2.99% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 HUDSON ST 4TH FLOOR NEW YORK, NY 10014 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $194 | — | $194 | 15.03% |
| FLOCKIS, INC.3 | 660 4TH STREET UNIT 334 SAN FRANCISCO, CA 94107 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $39 | $39 | 3.02% |
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 | 117 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 286 | $1.3M |
| Dental | DENTAL SERVICE OF MASSACHUSETTS, INC. D/B/A DELTA DENTAL | 297 | $78K |
| Vision | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 286 | $1.3M |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 104 | $39K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 104 | $8K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 104 | $23K |
| Other(4 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 106 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 297 | — |
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.