| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEMAX, INC.3 | 7 WEST MILL STREET MEDFIELD, MA 02052 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $36K | $10K | $46K | 2.35% |
| BENEMAX, INC.3 Filed as: BENEMAX INC. | 7 WEST MILL STREET MEDFIELD, MA 02052 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $14K | — | $14K | 18.51% |
| INDIGO INSURANCE SVC3 | 5TH FLOOR 446 MAIN STREET WORCESTER, MA 01608 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $5K | — | $5K | 7.00% |
| BENEMAX, INC.3 Filed as: BENEMAX INC. | 7 WEST MILL STREET MEDFIELD, MA 02052 | MONY LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 23.09% |
| INDIGO INSURANCE SVC3 | 5TH FLOOR 446 MAIN STREET WORCESTER, MA 01608 | MONY LIFE INSURANCE COMPANY OF AMERICA | — | $3K | $3K | 9.45% |
| BENEMAX, INC.3 Filed as: BENEMAX INC. | 7 WEST MILL STREET P.O. BOX 950 MEDFIELD, MA 02052 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | $297 | $3K | 45.33% |
| BULFINCH GROUP INSURANCE AGENCY3 Filed as: THE BULFINCH GROUP INSURANCE AGENCY | 140 KENDRICK ST. C-1E NEEDHAM, MA 02494 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $45 | — | $45 | 0.81% |
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 | 181 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 181 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 326 | $1.9M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 105 | $6K |
| Vision | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 326 | $1.9M |
| Life insurance(2 contracts, 2 carriers) | AMERICAN GENERAL LIFE INSURANCE COMPANY | 317 | $108K |
| Short-term disability(2 contracts, 2 carriers) | AMERICAN GENERAL LIFE INSURANCE COMPANY | 317 | $108K |
| Long-term disability(2 contracts, 2 carriers) | AMERICAN GENERAL LIFE INSURANCE COMPANY | 317 | $108K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 326 | $1.9M |
| Other(2 contracts, 2 carriers) | AMERICAN GENERAL LIFE INSURANCE COMPANY | 317 | $108K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 326 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.