| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NE, LLC | 2000 CHAPEL VIEW DRIVE CRANSTON, RI 02920 | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | $2K | $15K | $16K | 2.07% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS. SVCS.. INC. | 1201 WEST CYPRESS CREEK ROAD SUITE 130 FT LAUDERDALE, FL 33309 | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | $0 | $11K | $11K | 1.43% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BOULEVARD SUITE 240 CRANSTON, RI 02920 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $5K | $10K | 11.21% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS. SVCS.. INC. | 1201 WEST CYPRESS CREEK ROAD SUITE 130 FT LAUDERDALE, FL 33309 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 5.37% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA, INC. | 1661 WORTHINGTON ROAD, SUITE 175 WEST PALM BEACH, FL 33409 | DELTA DENTAL OF RHODE ISLAND | $1K | $0 | $1K | 2.24% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NE, LLC | 2000 CHAPEL VIEW BOULEVARD SUITE 240 CRANSTON, RI 02920 | DELTA DENTAL OF RHODE ISLAND | $1K | $0 | $1K | 2.20% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BOULEVARD SUITE 240 CRANSTON, RI 02920 | VISION SERVICE PLAN | $637 | $0 | $637 | 4.57% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SVCS., INC. | 1201 WEST CYPRESS CREEK ROAD SUITE 1 FORT LAUDERDALE, FL 33309 | VISION SERVICE PLAN | $590 | — | $590 | 4.23% |
| EMPLOYEE NAVIGATOR, LLC3 | 7979 OLD GEORGETOWN ROAD, SUITE 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $11 | $0 | $11 | 0.08% |
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 | 137 | 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) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | 188 | $792K |
| Dental | DELTA DENTAL OF RHODE ISLAND | 190 | $61K |
| Vision | VISION SERVICE PLAN | 85 | $14K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $91K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $91K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $91K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | 188 | $792K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $91K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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.