| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: BORISLOW INSURANCE AGENCY, INC. | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | HARVARD PILGRIM HEALTH CARE | $24K | $0 | $24K | 1.49% |
| ASSUREDPARTNERS3 Filed as: BORISLOW INSURANCE | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | HPHC INSURANCE COMPANY | $6K | $0 | $6K | 1.49% |
| ASSUREDPARTNERS3 Filed as: BORISLOW INSURANCE | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | DELTA DENTAL OF MASSACHUSETTS | $5K | $0 | $5K | 3.38% |
| ASSUREDPARTNERS3 Filed as: BORISLOW INSURANCE | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $13K | $0 | $13K | 12.00% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $70 | $70 | 0.06% |
| MARY-JOYCE LICATA3 | 583 HATCHERY ROAD NORTH KINGSTOWN, RI 02852 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $386 | $2K | 3.77% |
| CHRISTINE GORDON3 | 73 WARREN AVENUE PLYMOUTH, MA 02360 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 3.61% |
| KRISTY COLGATE3 | 43 MAGILL DRIVE GRAFTON, MA 01519 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $459 | $2K | 3.39% |
| ENROLLMENT SOLUTIONS LTD3 | 14 WUNSCHEL DRIVE SUTTON, MA 01590 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $694 | $711 | $1K | 2.93% |
| BORILSOW INSURANCE AGENCY, INC.3 | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 2.22% |
| MELISSA A. MARRAMA3 Filed as: MELISSA A MARRAMA | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 2.22% |
| MICHAEL S OBERLANDER3 Filed as: MICHAEL S OBERLANDER AND VARIOUS | PO BOX 171 REHOBOTH, MA 02769 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $561 | $144 | $705 | 1.47% |
| MELISSA A. MARRAMA3 | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 10.19% |
| ASSUREDPARTNERS3 Filed as: BORISLOW INSURANCE AGENCY, INC. | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $954 | $722 | $2K | 7.63% |
| SIGNATOR INSURANCE AGENCY INC3 Filed as: SIGNATOR INSURANCE AGENCY | 197 CLARENDON STREET C 8-8 BOSTON, MA 02116 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $741 | $0 | $741 | 3.37% |
| ASSUREDPARTNERS3 Filed as: BORISLOW INSURANCE AGENCY, INC. | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | VISION SERVICE PLAN | $676 | $0 | $676 | 7.93% |
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 | 221 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 223 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE | 228 | $2.0M |
| Dental | DELTA DENTAL OF MASSACHUSETTS | 307 | $139K |
| Vision | VISION SERVICE PLAN | 65 | $9K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 221 | $111K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 221 | $111K |
| Long-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 221 | $133K |
| Prescription drug(2 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE | 228 | $2.0M |
| Other(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 221 | $159K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 307 | — |
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.