| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEMAX, INC.3 | 7 WEST MILL STREET MEDFIELD, MA 02052 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | $55K | $17K | $72K | 1.90% |
| BENEMAX, INC.3 | 7 WEST MILL STREET MEDFIELD, MA 02052 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $9K | — | $9K | 2.85% |
| INDIGO INSURANCE SERVICES3 Filed as: INDIGO FINANCIAL SERVICES | 401 PARK DRIVE BOSTON, MA 02215 | USABLE LIFE | $19K | — | $19K | 14.51% |
| BENEMAX, INC.3 Filed as: BENEMAX INC. | 7 WEST MILL STREET MEDFIELD, MA 02052 | EYEMED VISION CARE | $3K | — | $3K | 11.30% |
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 | 280 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 284 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | 680 | $3.8M |
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 657 | $307K |
| Vision | EYEMED VISION CARE | 337 | $23K |
| Life insurance | USABLE LIFE | 330 | $130K |
| Long-term disability | USABLE LIFE | 330 | $130K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS | 680 | $3.8M |
| Other | USABLE LIFE | 330 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 680 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.