| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KD BENEFITS INSURANCE BROKERAGE3 Filed as: KD BENEFITS INSURANCE BROKERAGE, | 6 PARK LANE MARBLEHEAD, MA 01945 | THE UNION LABOR LIFE INSURANCE CO | $5K | — | $5K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS INC. EIN 38-2383171 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $172K |
| SEGAL COMPANY EIN 13-1928059 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $98K |
| BLUE CROSS BLUE SHIELD MA EIN 04-1045815 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $35K |
| MODERN ASSISTANCE PROGRAMS INC. NONE | Direct payment from the plan; Consulting (general) Service code 16 | 1400 HANCOCK ST. QUINCY, MA 02169 | $34K |
| SEGAL ROITMAN EIN 04-2489114 NONE | Legal; Direct payment from the plan Service code 29 | — | $32K |
| CHEVY CHASE TRUST EIN 52-2037618 NONE | Investment management; Direct payment from the plan Service code 28 | — | $14K |
| NOVAK FRANCELLA LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $12K |
| MEKETA INVESTMENT GROUP EIN 04-2659023 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | — | $8K |
| BMO HARRIS BANK NONE | Direct payment from the plan; Custodial (securities) Service code 19 | 111 E KILBOURN AVE, STE 200 MILWAUKEE, WI 53202 | $8K |
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 | 641 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 641 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC | 483 | $10.1M |
| Life insurance | THE UNION LABOR LIFE INSURANCE CO | 473 | $52K |
| Other | THE UNION LABOR LIFE INSURANCE CO | 473 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 483 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.