| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COSTELLO BENEFITS GROUP3 Filed as: COSTELLO BENEFITS GROUP INSURANCE | 800 WEST CUMMINGS PARK SUITE 6900 WOBURN, MA 01801 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $215K | $0 | $215K | 3.01% |
| COSTELLO BENEFITS GROUP3 Filed as: COSTELLO BENEFITS GROUP INS. | 800 WEST CUMMINGS PARK SUITE 4000 WOBURN, MA 01801 | DELTA DENTAL OF MASSACHUSETTS | $15K | $0 | $15K | 2.33% |
| COSTELLO BENEFITS GROUP3 Filed as: COSTELLO BENEFITS GROUP INSURANCE | 800 WEST CUMMINGS PARK SUITE 6900 WOBURN, MA 01801 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $47K | $457 | $47K | 15.15% |
| COSTELLO BENEFITS GROUP3 Filed as: COSTELLO BENEFITS GROUP INS. | 800 WEST CUMMINGS PARK SUITE 4000 WOBURN, MA 01801 | VISION SERVICE PLAN | $5K | $0 | $5K | 10.00% |
| COSTELLO BENEFITS GROUP3 Filed as: COSTELLO BENEFITS GROUP INS. | 800 WEST CUMMINGS PARK SUITE 4000 WOBURN, MA 01801 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $898 | $4K | 17.90% |
| COSTELLO BENEFITS GROUP3 Filed as: COSTELLO BENEFITS GROUP INS. | 800 WEST CUMMINGS PARK SUITE 4000 WOBURN, MA 01801 | HARTFORD LIFE AND ACCIDENT | $365 | $0 | $365 | 15.02% |
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 | 650 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 662 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 1,101 | $7.1M |
| Dental | DELTA DENTAL OF MASSACHUSETTS | 1,179 | $641K |
| Vision | VISION SERVICE PLAN | 490 | $49K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 509 | $330K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 509 | $310K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 1,101 | $7.1M |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 509 | $332K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,179 | — |
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.
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.