| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | $50K | $0 | $50K | 2.68% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | $6K | $0 | $6K | 3.26% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE BOSTON, MA 02199 | USABLE LIFE | $8K | — | $8K | 20.00% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | USABLE LIFE | $0 | $609 | $609 | 1.51% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE BOSTON, MA 02199 | USABLE LIFE | $8K | $0 | $8K | 20.00% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | USABLE LIFE | $0 | $600 | $600 | 1.51% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE BOSTON, MA 02199 | USABLE LIFE | $5K | $0 | $5K | 25.00% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | USABLE LIFE | $0 | $363 | $363 | 1.68% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE BOSTON, MA 02199 | USABLE | $4K | — | $4K | 20.00% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | USABLE | $0 | $302 | $302 | 1.51% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | UNION SECURITY | $1K | $0 | $1K | 6.72% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE BOSTON, MA 02199 | USABLE LIFE | $7K | $0 | $7K | 48.34% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | USABLE LIFE | $0 | $231 | $231 | 1.52% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE BOSTON, MA 02199 | USABLE LIFE | $7K | $0 | $7K | 59.63% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | USABLE LIFE | $0 | $181 | $181 | 1.63% |
| INDIGO INSURANCE SERVICES | 101 HUNTINGTON AVE BOSTON, MA 02199 | USABLE LIFE | $902 | $0 | $902 | 24.99% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | USABLE LIFE | $0 | $60 | $60 | 1.66% |
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 | 187 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 187 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | 175 | $1.9M |
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | 175 | $182K |
| Vision | UNION SECURITY | 166 | $18K |
| Short-term disability | USABLE LIFE | 178 | $40K |
| Long-term disability | USABLE LIFE | 178 | $40K |
| Other(5 contracts, 2 carriers) | USABLE LIFE | 178 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 178 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.