No brokers reported on this filing.
| 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 | — | $231K |
| ELAINE LAFLEUR PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 32 STEVENES ST SPRINGFIELD, MA 01104 | $50K |
| 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); Direct payment from the plan; Consulting fees Service code 16 | 37 ELM ST WEST SPRINGFIELD, MA 01089 | $19K |
| NICHOLAS LAPIER CPA PC EIN 32-0048525 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $16K |
| SEGAL MARCO ADVISORS EIN 36-3555078 CONSULTANT | Trustee (individual) Service code 20 | — | $6K |
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 | 293 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 78 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 371 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 798 | $0 |
| Other | EXPRESS SCRIPTS, INC. | 742 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 798 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.