| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | MASSACHUSETTS BLUE CROSS BLUE SHIELD | $37K | $0 | $37K | 1.89% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | MASSACHUSETTS BLUE CROSS BLUE SHIELD | $6K | $0 | $6K | 3.11% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $3K | $0 | $3K | 11.77% |
| INDIGO INSURANCE SERVICES3 | 101 HUNBTINGTON AVE SUITE 1300 BOSTON, MA 02199 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $0 | $2K | $2K | 7.00% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 8.53% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE SUITE 1300 BOSTON, MA 02199 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $0 | $2K | $2K | 7.00% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $4K | $0 | $4K | 15.00% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE SUITE 1300 BOSTON, MA 02199 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $0 | $2K | $2K | 7.00% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | MASSACHUSETTS BLUE CROSS BLUE SHIELD | $2K | $0 | $2K | 10.00% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 9.53% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE SUITE 1300 BOSTON, MA 02199 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $0 | $1K | $1K | 6.99% |
| GEORGE BLAISDELL3 | 65 BROWN RD PO BOX 644 HAMPTON FALLS, NH 03844 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 13.44% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE STE 1300 BOSTON, MA 02199 | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | $0 | $1K | $1K | 7.00% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE SUITE 1300 BOSTON, MA 02199 | USABLE LIFE | $2K | $0 | $2K | 13.98% |
| INDIGO INSURANCE SERVICES3 | 101 HUNTINGTON AVE SUITE 1300 BOSTON, MA 02199 | USABLE LIFE | $2K | $0 | $2K | 17.78% |
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) | MASSACHUSETTS BLUE CROSS BLUE SHIELD | 134 | $2.0M |
| Dental | MASSACHUSETTS BLUE CROSS BLUE SHIELD | 134 | $201K |
| Vision | MASSACHUSETTS BLUE CROSS BLUE SHIELD | 132 | $18K |
| Life insurance | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 137 | $15K |
| Short-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 137 | $27K |
| Long-term disability | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 137 | $30K |
| Other(4 contracts, 2 carriers) | EQUITABLE FINANCIAL LIFE INSURANCE COMPANY | 137 | $68K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 137 | — |
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.