| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 475 KILVERT STREET, SUITE 205 WARWICK, RI 02886 | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | — | $35K | $35K | 0.99% |
| USI INSURANCE SERVICES LLC3 | 475 KILVERT STREET, SUITE 205 WARWICK, RI 02886 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $50K | $7K | $57K | 12.49% |
| USI INSURANCE SERVICES LLC3 | 475 KILVERT STREET, SUITE 205 WARWICK, RI 02886 | DELTA DENTAL OF RHODE ISLAND | $5K | $0 | $5K | 1.86% |
| MERIDIEN BENEFIT GROUP3 | 10 DORRANCE STREET, SUITE 524 PROVIDENCE, RI 02903 | DELTA DENTAL OF RHODE ISLAND | $1K | $0 | $1K | 0.46% |
| USI INSURANCE SERVICES LLC3 | 475 KILVERT STREET, SUITE 205 WARWICK, RI 02886 | HARVARD PILGRIM HEALTH CARE | $2K | $0 | $2K | 1.30% |
| USI INSURANCE SERVICES LLC3 | PO BOX 3716 NORFOLK, VA 23514 | VISION SERVICE PLAN | $2K | — | $2K | 7.00% |
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 | 244 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 244 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | 526 | $3.7M |
| Dental | DELTA DENTAL OF RHODE ISLAND | 254 | $296K |
| Vision | VISION SERVICE PLAN | 148 | $25K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 162 | $457K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 162 | $457K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 162 | $457K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | 526 | $3.7M |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 162 | $457K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 526 | — |
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.