| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PATRICK J SULLIVAN3 Filed as: PATRICK SULLIVAN | 414 PLAZA DR STE 301 WESTMONT, IL 605595508 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $13 | — | $13 | 2.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MASS MUTUAL LIFE INSURANCE COMPANY EIN 04-1590850 NONE | Other investment fees and expenses; Sub-transfer agency fees; Soft dollars commissions; Distribution (12b-1) fees; Investment management fees paid indirectly by plan; Recordkeeping fees; Other insurance wrap fees Service code 52 | — | $25K |
| AMERICAN CENTURY | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| AMERICAN FUNDS | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| AMERICANFUNDS | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| ENVESTNET RETIREMENT SOLUTIONS LLC | Investment advisory (plan) Service code 27 | — | $0 |
| OPPEMHEIMER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| OPPENHEIMER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| T. ROWE PRICE | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
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 | 132 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 21 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 157 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | 1 | $637 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.