Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: The Hilb Group of New England, LLC HealthHMOPPO | HealthHMOPPO | |
Broker: Kevin Harrington LifeOther | LifeOther |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 2 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 6,770 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,320 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 8,090 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASS. | 13,905 | $110.7M |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 0 | $616K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 0 | $616K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,905 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Blue Cross Blue Shield of Mass. | |
Carrier: Symetra Life Insurance Company | |
Carrier: Symetra Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF MASS. EIN 04-1045815 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $279K |
| MARIA GNERRE EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $276K |
| JOANNE C SCHULTZ EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $245K |
| LAURIE MURPHY EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $236K |
| MARK ANTIDORMI EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $235K |
| AZITA NEGAHBAN EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $216K |
| LAURENCE LIBBY EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $210K |
| MICHAEL KATZ EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $207K |
| BRENDA PARSONS EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $202K |
| LILIA GAVRILOV EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $199K |
| ELENA JORDACHE EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $196K |
| MANJULA RAMANA EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $196K |
| ELEANOR PERRY EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $185K |
| LESLIE RUSSELL EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $185K |
| ANISSA DERROUCHE EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $185K |
| MIDWEST INSTITUTIONAL TRUST COMPANY EIN 48-1138946 NONE | Investment management; Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $183K |
| MARK STANIUL EIN 04-6374631 EMPLOYEE | Direct payment from the plan Service code 50 | — | $183K |
| THOMAS VITIELLO EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $182K |
| EMILY YE EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $180K |
| GABRIELLA WALLING EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $163K |
| PETER DIBONA EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $162K |
| DAVIDE LICATA EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $157K |
| JESSICA DAVIS EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $155K |
| SHERRY BOURKE EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $154K |
| CAROLYN REGAN EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $150K |
| ALINA MCATEER EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $146K |
| EMERALD GREEN BUILDING SERVICE LLC EIN 45-4596664 NONE | Other services; Direct payment from the plan Service code 49 | — | $146K |
| FEINBERG, DUMONT, & BRENNAN EIN 04-2738936 NONE | Legal; Direct payment from the plan Service code 29 | — | $141K |
| SEA CHANGE SYSTEMS, INC. EIN 04-3210703 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $141K |
| DEREK O'BRIEN EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $137K |
| MANZI & ASSOCIATES LLC EIN 04-3508036 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $134K |
| GW&K INVESTMENT MANAGEMENT LLC EIN 80-0250512 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $131K |
| LAUREN MURPHY EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $130K |
| SIERRA INVESTMENT PARTNERS EIN 68-0370668 NONE | Direct payment from the plan; Investment management Service code 28 | — | $129K |
| KRISTEN SULLIVAN EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $129K |
| MICHELLE REGAN EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $127K |
| CAROLYN BLANCHETTE EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $126K |
| JENNIFER CALLAGHAN EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $126K |
| SCOTT COLAMETA EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $121K |
| GIOVANNI QUINTAL EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $121K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $121K |
| LISA BUCHANAN EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $119K |
| JEANNEMARIE HOLMES EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $119K |
| LAURA HORGAN EIN 04-6374631 EMPLOYEE | Employee (plan) Service code 30 | — | $118K |
| SUZANNE DEVOE EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $117K |
| SARAH FERREIRA EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $116K |
| MARGARET LILLIS EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $113K |
| GEURY FRANCISCO EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $113K |
| GUERY FRANCISCO EIN 04-6374631 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $113K |
| EMMA MARI EIN 04-6374631 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $113K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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10 filings · 2016 to 2025