| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | KAISER FOUNDATION HEALTH PLAN, INC. | $25K | — | $25K | 2.30% |
| DENNIS K. GREENE INC.3 Filed as: DENNIS K. GREENE, INC. | 675 W. FOOTHILL BLVD., STE. 202 CLAREMONT, CA 917113475 | KAISER FOUNDATION HEALTH PLAN, INC. | $2K | — | $2K | 0.18% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | DELTA DENTAL OF RHODE ISLAND | $15K | — | $15K | 5.00% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 7.11% |
| IMG5 | 2960 NORTH MERIDIAN ST. INDIANAPOLIS, MN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $207 | $207 | 0.10% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | EYEMED VISION CARE | $3K | — | $3K | 9.10% |
| JAMES T KINNEY3 Filed as: JAMES T. KINNEY | 1429 WARWICK AVENUE WARWICK, RI 02888 | TRANSAMERICA LIFE INSURANCE COMPANY | $971 | — | $971 | 6.53% |
| HAYS COMPANIES, INC.3 | 80 SOUTH 8TH ST., STE. 700 MINNEAPOLIS, MN 55402 | TRANSAMERICA LIFE INSURANCE COMPANY | $521 | — | $521 | 3.50% |
| EASTERN BENEFITS GROUP3 | 233 WEST CENTRAL STREET NATICK, MA 01760 | TRANSAMERICA LIFE INSURANCE COMPANY | $152 | — | $152 | 1.02% |
| MICHAEL R ACKERMAN3 Filed as: MICHAEL R. ACKERMAN | 150 EAST SWEDESFORD RD., STE. 102 WAYNE, PA 19087 | TRANSAMERICA LIFE INSURANCE COMPANY | $86 | — | $86 | 0.58% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | DELTA DENTAL OF CALIFORNIA | $1K | — | $1K | 10.00% |
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 | 522 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 528 | 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 | 689 | $4.4M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF RHODE ISLAND | 784 | $311K |
| Vision | EYEMED VISION CARE | 695 | $36K |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 522 | $214K |
| Short-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 522 | $214K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 522 | $199K |
| Other(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 522 | $214K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 784 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.