| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GAUDREAU GROUP INS AGENCY3 Filed as: THE GAUDREAU GROUP INS AGENCY | 2377 BOSTON ROAD PO BOX 36 WILBRAHAM, MA 01095 | EXPRESS SCRIPTS, INC. | $4K | — | $4K | 1.94% |
| THE GAUDREAU GROUP INC INS AGENCY Filed as: GAUDREAU GROUP INC INSURANCE CO | PO BOX 369 WILBRAHAM, MA 01095 | HARTFORD LIFE AND ACCIDENT | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBS OF MASSACHUSETTS EIN 04-1045815 HEALTH CARE PROVIDER | Other fees; Direct payment from the plan; Contract Administrator Service code 13 | — | $229K |
| ELAINE LAFLEUR PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 32 STEVENS STREET SPRINGFIELD, MA 01104 | $48K |
| NICHOLAS LAPIER CPA PC EIN 32-0048525 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $26K |
| KRAKOW SOURIS & LANDRY LLC EIN 04-3363718 ATTORNEYS | Legal; Direct payment from the plan Service code 29 | — | $22K |
| FOLEY CONNELLY HEALTH CARE CONSULTANT | Consulting (general); Consulting fees; Direct payment from the plan Service code 16 | 37 ELM STREET WEST SPRINGFIELD, MA 01089 | $10K |
| CBIZ SAVITZ EIN 26-1371674 ACTUARY | Actuarial; Direct payment from the plan Service code 11 | — | $8K |
| THE GAUDREAU GROUP EIN 04-2224848 HEALTH CARE CONSULTANT | Direct payment from the plan; Consulting (general); Consulting fees Service code 16 | — | $7K |
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 | 316 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 21 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 337 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 855 | $0 |
| Other(2 contracts, 2 carriers) | EXPRESS SCRIPTS, INC. | 689 | $225K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 855 | — |
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."
No prospect flags tripped on this filing.