| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BLVD. STE. 240 CRANSTON, RI 02920 | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | $1K | $38K | $40K | 1.94% |
| ANTHONY M CHANDLER3 | 184 WORCESTER PROVIDENCE TURNPIKE SUTTON, MA 01590 | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | — | $7K | $7K | 0.35% |
| RODNEY BRUSINI3 | 1401 NEWPORT AVE. PAWTUCKET, RI 02861 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 9.99% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 2850 GOLF RD. ROLLING MEADOWS, IL 60008 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | $5 | — | $5 | 0.01% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BLVD. STE. 240 CRANSTON, RI 02920 | VISION SERVICE PLAN | $881 | — | $881 | 3.82% |
| ACRISURE LLC3 | 40 CORPORATE AVE PLAINVILLE, CT 06062 | VISION SERVICE PLAN | $607 | — | $607 | 2.63% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NE | 2000 CHAPEL VIEW BLVD. STE. 240 CRANSTON, RI 02920 | DELTA DENTAL OF RHODE ISLAND | $622 | — | $622 | — |
| ACRISURE LLC3 Filed as: ACRISURE | 40 CORPORATE AVENUE PLAINVILLE, CT 06062 | DELTA DENTAL OF RHODE ISLAND | $208 | — | $208 | — |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NE | 2000 CHAPEL VIEW BLVD. STE. 240 CRANSTON, RI 02920 | DELTA DENTAL OF RHODE ISLAND | $2K | — | $2K | — |
| ACRISURE LLC3 Filed as: ACRISURE | 40 CORPORATE AVENUE PLAINVILLE, CT 06062 | DELTA DENTAL OF RHODE ISLAND | $567 | — | $567 | — |
No Schedule C service providers reported on this filing.
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 | 199 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 199 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | 265 | $2.0M |
| Dental(2 contracts) | DELTA DENTAL OF RHODE ISLAND | 175 | $0 |
| Vision | VISION SERVICE PLAN | 100 | $23K |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 199 | $63K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA | 199 | $63K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 265 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.