| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIDELITY HEALTH INSURANCE SERVICES3 | 200 SEAPORT BLVD V2B BOSTON, MA 02210 | INDEPENDENCE ADMINISTRATORS | $20K | — | $20K | 1.09% |
| FIDELITY HEALTH INSURANCE SERVICES3 Filed as: FIDELITY HEALTH INSURANCE SERV. | 200 SEAPORT BLVD BOSTON, MA 02210 | SUN LIFE ASSURANCE COMPANY OF CANADA | $19K | $3K | $22K | 10.47% |
| FIDELITY HEALTH INSURANCE SERVICES3 | 200 SEAPORT BLVD V2B BOSTON, MA 02210 | SYMETRA LIFE INSURANCE COMPANY | $11K | $3K | $14K | 6.41% |
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 | 244 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 249 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | INDEPENDENCE ADMINISTRATORS | 206 | $1.8M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 247 | $214K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 247 | $214K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 247 | $214K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 247 | $214K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 247 | $214K |
| Prescription drug | INDEPENDENCE ADMINISTRATORS | 206 | $1.8M |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | INDEPENDENCE ADMINISTRATORS | 209 | $2.0M |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 247 | $214K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 247 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.