| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM E GEORGE | — | HARVARD PILGRIM HEALTH CARE | $15K | — | $15K | 3.06% |
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM E. GEORGE | — | HARVARD PILGRIM HEALTH CARE | $7K | — | $7K | 3.06% |
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM E GEORGE | — | HARVARD PILGRIM HEALTH CARE | $4K | — | $4K | 3.03% |
| THOMAS SCANLON3 | 121 ROLLING MEADOWS DRIVE HOLLISTON, MA 01746 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $591 | $6K | 8.95% |
| ENROLLMENT SOLUTIONS LTD3 | 65 BURBANK RD SUTTON, MA 01590 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $575 | $409 | $984 | 1.57% |
| PERRYVILLE MARKETING ASSOCIATES LLC3 | PO BOX 171 REHOBETH, MA 02769 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $842 | — | $842 | 1.35% |
| MELISSA J LINDSEY3 | 152 HARRIS RD SMITHFIELD, RI 02917 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $686 | $55 | $741 | 1.19% |
| RONALD MARK SCHNEIDER3 | 17 MORGAN DRIVE NATICK, MA 01760 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $733 | — | $733 | 1.17% |
| MICHAEL S OBERLANDER3 | PO BOX 171 REHOBETH, MA 02769 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $200 | — | $200 | 0.32% |
| CHRISTINE GORDON3 | 73 WARREN AVE PLYMOUTH, MA 02360 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $180 | — | $180 | 0.29% |
| FALVEY BENEFIT ADVISORS INC3 | 15 GERORDAN AVE BELLINGHAM, MA 02019 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $124 | — | $124 | 0.20% |
| BRIAN STEBBINS3 | 1707 NORTH HAMPTON STREET HOLYOKE, MA 01040 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $109 | — | $109 | 0.17% |
| DAVID L FLEURY3 | 162 INDIAN POINT RD TIVERTON, RI 02878 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $79 | — | $79 | 0.13% |
| FLEURY ENTERPRISES INC3 | 162 INDIAN POINT RD TIVERTON, RI 02878 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $72 | — | $72 | 0.12% |
| BSK BENEFITS PLUS LLC3 | 205 PINCREST DR COVINGTON, LA 70433 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $68 | — | $68 | 0.11% |
| STEPHEN CORRIVEAU3 | 420 GRANGE ROAD NORTH SMITHFIELD, RI 02896 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $39 | $25 | $64 | 0.10% |
| MAIER FREEDMAN3 | 830 SHERMAN STREET DENVER, CO 80203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $41 | — | $41 | 0.07% |
| JORDAN Y MUCHNICK3 | 148 HICKORY HILL LANE NEWINGTON, CT 06111 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | — | $20 | 0.03% |
| KEVIN M WHITE3 | 8 BEACON STREET BOSTON, MA 02108 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | — | $17 | 0.03% |
| DAVID A SILVIA3 | PO BOX 706 N DIGHTON, MA 02764 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | — | $17 | 0.03% |
| RICHARD HASKINS3 | 22 WEST STREET MILLBURY, MA 01527 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.02% |
| ROBERT S WHITEHEAD3 | 9050 HEARTHSTONE DR ZIONSVILLE, IA 46077 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM E. GEORGE | — | HARVARD PILGRIM HEALTH CARE | $2K | — | $2K | 3.06% |
| WILLIAM GEORGE3 Filed as: WILLIAM W. GEORGE | 1 BLACKWELL LANE WORCESTER, MA 01608 | DELTA DENTAL | $2K | — | $2K | 4.10% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GEORGE, WILLIAM W | — | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | $967 | — | $967 | 3.06% |
| GEORGE, WILLIAM3 | 1 BLACKWELL LN WORCESTER, MA 016094406 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 11.66% |
| THOMAS SCANLON3 | 121 ROLLING MEADOW DRIVE HOLLISTON, MA 01746 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $389 | $3K | 42.08% |
| ENROLLMENT SOLUTIONS LTD3 | 65 BURBANK RD SUTTON, MA 01590 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $273 | $259 | $532 | 8.51% |
| RONALD MARK SCHNEIDER3 | 17 MORGAN DRIVE NATICK, MA 01760 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $312 | — | $312 | 4.99% |
| MELISSA J LINDSEY3 | 152 HARRIS RD SMITHFIELD, RI 02917 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $265 | $35 | $300 | 4.80% |
| STEPHEN CORRIVEAU3 | 420 GRANGE ROAD NORTH SMITHFIELD, RI 02896 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $25 | $16 | $41 | 0.66% |
| WILLIAM GEORGE3 | 1 BLACKWELL LANE WORCESTER, MA 016094406 | VISION SERVICE PLAN | $491 | — | $491 | 10.03% |
| THOMAS SCANLON3 | 121 ROLLING MEADOW DRIVE HOLLISTON, MA 01746 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $190 | $12 | $202 | 4.25% |
| PERRYVILLE MARKETING ASSOCIATES LLC3 | PO BOX 171 REHOBETH, MA 01590 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $106 | — | $106 | 2.23% |
| RONALD MARK SCHNEIDER3 | 17 MORGAN DRIVE NATICK, MA 01760 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $32 | — | $32 | 0.67% |
| MELISSA J LINDSEY3 | 152 HARRIS RD SMITHFIELD, RI 02896 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $27 | $1 | $28 | 0.59% |
| MICHAEL S OBERLANDER3 | PO BOX 171 REHOBOTH, MA 02769 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 0.46% |
| ENROLLMENT SOLUTIONS LTD3 | 65 BURBANK RD SUTTON, MA 01590 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | $6 | $22 | 0.46% |
| CHRISTINE GORDON3 | 73 WARREN AVE PLYMOUTH, MA 02360 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 0.44% |
| FALVEY BENEFIT ADVISORS INC3 | 15 GERORDAN AVE BELLINGHAM, MA 02019 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.21% |
| DAVID L FLEURY3 | 162 INDIAN POINT RD TIVERTON, RI 02878 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.11% |
| FLEURY ENTERPRISES INC3 | 162 INDIAN POINT RD TIVERTON, RI 02878 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.11% |
| DAVID A SILVIA3 | PO BOX 706 N DIGHTON, MA 02764 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.02% |
| STEPHEN CORRIVEAU3 | 420 GRANGE ROAD NORTH SMITHFIELD, RI 02896 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.02% |
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 | 122 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(3 contracts, 3 carriers) | DELTA DENTAL | 166 | $91K |
| Vision | VISION SERVICE PLAN | 28 | $5K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 163 | $12K |
| Long-term disability(3 contracts) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 46 | $74K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 163 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 166 | — |
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.