| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EASTERN INSURANCE GROUP LLC3 Filed as: EASTERN INSURANCE GROUP, LLC | 77 ACCORD PARK DRIVE, UNIT 2 NORWELL, MA 02061 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $47K | $9K | $57K | 2.26% |
| EASTERN INSURANCE GROUP LLC3 Filed as: EASTERN INSURANCE GROUP, LLC | 100 QUANNAPOWITT PARKWAY SUITE 400 WAKEFIELD, MA 01880 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 9.72% |
| EASTERN INSURANCE GROUP LLC3 Filed as: EASTERN INSURANCE GROUP, LLC | 233 WEST CENTRAL STREET NATICK, MA 01760 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $2K | $2K | 2.34% |
| CHRISTINE GORDON3 | 73 WARREN AVENUE PLYMOUTH, MA 02360 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $936 | $24 | $960 | 6.21% |
| PERRYVILLE MARKETING ASSOCIATES LLC3 Filed as: PERRYVILLE MARKETING ASSOCIATES | PO BOX 171 REHOBETH, MA 02769 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $561 | — | $561 | 3.63% |
| EASTERN INSURANCE GROUP LLC3 Filed as: EASTERN INSURANCE GROUP, LLC | PO BOX 4000 WAKEFIELD, MA 01880 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $542 | — | $542 | 3.51% |
| MJ INSURANCE3 Filed as: RICHARD HASKINS AND VARIOUS AGENTS | 22 WEST STREET MILLBURY, MA 01527 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $359 | $13 | $372 | 2.41% |
| JASON HARTMAN3 Filed as: JASON C. SHAPRIO | 41 BRENTON STREET LITCHFIELD, NH 03052 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $289 | $31 | $320 | 2.07% |
| B2 INSURANCE SERVICES3 Filed as: DB INSURANCE INS. | 10 PEACHTREE LANE DANNVERS, MA 01923 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $144 | $174 | $318 | 2.06% |
| JUDITH KING PROTEAU3 | 30 LAFAYETTE DRIVE MARLBORO, MA 01752 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $250 | — | $250 | 1.62% |
| EASTERN BENEFITS GROUP3 Filed as: EASTERN BENEFITS GROUP, LLC | PO BOX 4000 WAKERFIELD, MA 01880 | EYEMED | $672 | — | $672 | 9.99% |
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 | 131 | 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) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 295 | $2.5M |
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 295 | $2.5M |
| Vision | EYEMED | 168 | $7K |
| Life insurance | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 3 | $15K |
| Short-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 131 | $82K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 131 | $66K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 295 | $2.5M |
| Other | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 3 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 295 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.