| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC. | 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. | $4K | $0 | $4K | 1.42% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC. | 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | TUFTS INSURANCE COMPANY | $319 | $0 | $319 | 0.62% |
| DAVID MICHAEL BOWEN3 | 8 MARK LANE MILTON, MA 02186 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $589 | $0 | $589 | 5.92% |
| BURGIN PLATNER HURLEY INSURANCE3 Filed as: BURGIN PLATNER HURLEY INS. AGENCY | 14 FRANKLIN STREET QUINCY, MA 02169 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $589 | $0 | $589 | 5.92% |
| CHRISTOPHER THOMAS SMITH3 | 798 BERRY ROAD NASHVILLE, TN 37204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6 | $0 | $6 | 0.06% |
| CHRISTOPHER THOMAS SMITH3 | 798 BERRY ROAD NASHVILLE, TN 37204 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $46 | $0 | $46 | 3.02% |
| DAVID MICHAEL BOWEN3 | 8 MARK LANE MILTON, MA 02186 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $17 | $0 | $17 | 1.12% |
| BURGIN PLATNER HURLEY INSURANCE3 Filed as: BURGIN PLATNER HURLEY INS. AGENCY | 14 FRANKLIN STREET QUINCY, MA 02169 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $17 | $0 | $17 | 1.12% |
| DAVID MICHAEL BOWEN3 | 8 MARK LANE MILTON, MA 02186 | STARMOUNT LIFE INSURANCE COMPANY | $7 | $0 | $7 | 12.28% |
| BURGIN PLATNER HURLEY INSURANCE3 Filed as: BURGIN PLATNER HURLEY INS. AGENCY | 14 FRANKLIN STREET QUINCY, MA 02169 | STARMOUNT LIFE INSURANCE COMPANY | $7 | $0 | $7 | 12.28% |
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 | 304 | 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) | 304 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. | 417 | $356K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 1 | $57 |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 170 | $11K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 170 | $10K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 170 | $10K |
| Prescription drug(2 contracts, 2 carriers) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. | 417 | $356K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 170 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 417 | — |
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.