| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $373K | $73K | $447K | 3.60% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NEW ENGLAND, LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $49K | — | $49K | 4.51% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | HARTFORD LIFE AND ACCIDENT | $78K | $40K | $117K | 15.53% |
| INDIGO INSURANCE SERVICES3 Filed as: INDIGO INSURANCE SERVICES LLC | 101 HUNTINGTON AVE., STE. 1300 BOSTON, MA 02199 | HARTFORD LIFE AND ACCIDENT | — | $53K | $53K | 7.00% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP DBA 360CBA | 1375 KINGS HIGHWAY EAST, STE. 215 FAIRFIELD, CT 06824 | EYEMED VISION CARE OBO FIDELITY SECURITY LIFE INSURANCE COMPANY | $9K | — | $9K | 9.24% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | HARTFORD LIFE AND ACCIDENT | $1K | — | $1K | 15.00% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP DBA 360CBA | 1375 KINGS HIGHWAY EAST STE. 215 FAIRFIELD, CT 06824 | EYEMED VISION CARE OBO FIDELITY SECURITY LIFE INSURANCE COMPANY | $93 | — | $93 | 8.79% |
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 | 780 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 790 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 1,847 | $12.4M |
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 1,851 | $1.1M |
| Vision(2 contracts) | EYEMED VISION CARE OBO FIDELITY SECURITY LIFE INSURANCE COMPANY | 1,266 | $97K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 780 | $756K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 780 | $756K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 780 | $756K |
| Other(2 contracts) | HARTFORD LIFE AND ACCIDENT | 780 | $763K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,851 | — |
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.