| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 | 116 HUNTINGTON AVENUE BOSTON, MA 02116 | BLUE CROSS BLUE SHIELD OF RI | — | $21K | $21K | 0.06% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF RI EIN 05-0158952 NONE | Claims processing Service code 12 | 500 EXCHANGE STREET PROVIDENCE, RI 02903 | $1.2M |
| THE SEGAL CO. EASTERN STATES , INC EIN 13-1835864 NONE | Consulting (general) Service code 16 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $303K |
| ADMINISTRATION SERVICES, INC. EIN 05-0345198 NONE | Contract Administrator Service code 13 | 200 MIDWAY ROAD SUITE 169 CRANSTON, RI 02920 | $211K |
| COIA & LEPORE, LTD. EIN 05-0353671 NONE | Legal Service code 29 | 226 S MAIN STREET PROVIDENCE, RI 02903 | $101K |
| ADLER POLLOCK & SHEEHAN PC EIN 05-0343749 NONE | Legal Service code 29 | 100 WESTMINSTER STREET 16TH FLOOR PROVIDENCE, RI 02903 | $96K |
| WEX, INC. EIN 01-0526993 NONE | Other fees Service code 99 | 1 HANCOCK STREET PORTLAND, ME 04101 | $42K |
| WARD, FISHER & COMPANY, LLP EIN 05-0234540 NONE | Accounting (including auditing) Service code 10 | 250 CENTERVILLE ROAD BUILDING C WARWICK, RI 02886 | $28K |
| CORRENTE LAW OFFICES EIN 06-1484539 NONE | Legal Service code 29 | 226 SOUTH MAIN STREET PROVIDENCE, RI 02903 | $28K |
| STATE STREET GLOBAL ADVISORS TRUST EIN 81-4017137 NONE | Investment management fees paid directly by plan Service code 51 | — | $25K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | 116 HUNTINGTON AVENUE BOSTON, MA 021165744 | $22K |
| ACADIAN ASSET MANAGEMENT LLC EIN 04-2929221 NONE | Investment management Service code 28 | 260 FRANKLIN STREET BOSTON, MA 02110 | $16K |
| CITIZENS BANK EIN 20-2635739 NONE | Custodial (securities) Service code 19 | ONE CITIZENS BANK WAY JOHNSTON, RI 02919 | $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 | 2,289 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,289 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF RI | 4,688 | $33.0M |
| Dental | BLUE CROSS BLUE SHIELD OF RI | 4,226 | $159K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 5,089 | $184K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,768 | $145K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF RI | 4,688 | $33.0M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF RI | 4,688 | $33.0M |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 1,768 | $145K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,089 | — |
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.