| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLEARY INSURANCE, INC.3 Filed as: CLEARY INSURANCE, INC | 226 CAUSEWAY ST # 302 BOSTON, MA 02114 | PRINCIPAL LIFE INSURANCE COMPANY | $40K | — | $40K | 10.83% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 04-1045815 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $2.9M |
| DELTA DENTAL OF MASSACHUSETTS EIN 04-6143185 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $380K |
| LOOMIS SAYLES EIN 04-3200030 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $369K |
| MODERN ASSISTANCE EIN 04-3014253 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $310K |
| ZENITH AMERICAN SOLUTIONS INC EIN 52-1590516 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $215K |
| INNOVATIVE SOFTWARE SOLUTIONS EIN 23-2182079 NONE | Direct payment from the plan; Other fees Service code 50 | — | $205K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $135K |
| NOVAK FRANCELLA,LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $100K |
| KRAKOW & SOURIS LLC EIN 04-3363718 NONE | Legal; Direct payment from the plan Service code 29 | — | $98K |
| SEGAL ROITMAN & COMPANY EIN 04-2489114 NONE | Legal; Direct payment from the plan Service code 29 | — | $94K |
| MICHAEL DONOVAN EIN 04-6063733 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $86K |
| VERONICA MULKERN EIN 04-6063733 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $85K |
| ICORPS TECHNOLOGIES EIN 04-3322710 NONE | Direct payment from the plan; Other services Service code 49 | — | $68K |
| CHRISTINE MUNN EIN 04-6063733 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $57K |
| AFL-CIO HOUSING INVESTMENT TRUST EIN 52-6220193 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $56K |
| STATE STREET BANK & TRUST EIN 04-1867445 NONE | Custodial (securities); Investment management fees paid directly by plan Service code 19 | — | $53K |
| NATALIE VEGA EIN 04-6063733 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $51K |
| LISA O'CONNELL EIN 04-6063733 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $50K |
| BARBARA JOHNSON EIN 04-6063733 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $45K |
| CBIZ SAVITZ EIN 31-1582098 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $45K |
| ROBERT HALF EIN 94-1648752 NONE | Other services; Direct payment from the plan Service code 49 | — | $45K |
| JULIE DIBONA EIN 04-6063733 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $44K |
| MANZI & ASSOCIATES LLC EIN 04-3508036 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $44K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $42K |
| CAREMARK RX, INC. EIN 95-3382344 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $39K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $36K |
| ATIYA CHARLEY EIN 04-6063733 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $34K |
| JOSHUA WOOD EIN 04-6063733 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $32K |
| LAUREN BRONSKE EIN 04-6063733 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $32K |
| BLACKROCK FINANCIAL MGMT EIN 13-3806691 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $29K |
| CHRISTINE LAROSA EIN 04-6063733 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $28K |
| KAITLYN SHERMAN EIN 04-6063733 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $28K |
| DAVIS VISION EIN 11-3051991 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $25K |
| AUGUST LEVESQUE EIN 04-6063733 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $24K |
| NAN THE NURSE, LLC EIN 85-1049491 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $21K |
| IRON MOUNTAIN RECORDS MANAGEMENT EIN 04-3038590 NONE | Direct payment from the plan; Other services Service code 49 | — | $15K |
| JAIMIE GAGNE EIN 04-6063733 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $10K |
| DONNEGAN SYSTEMS INC EIN 04-2590501 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $8K |
| DENISA CUMANI EIN 04-6063733 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $8K |
| PAYCHEX EIN 16-1124166 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $8K |
| KELSEY HARDIN EIN 04-6063733 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $7K |
| SOPHEAK OEUR EIN 04-6063733 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $7K |
| NASDAQ CORPORATE SOLUTIONS LLC EIN 46-2577267 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $5K |
| NEW TOWER TRUST COMPANY EIN 30-0872552 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $0 |
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 | 6,165 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,400 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 7,565 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 5,647 | $372K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,647 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.