| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT INS SERVICES INC. | 470 ATLANTIC AVENUE, 13TH FLOOR BOSTON, MA 02210 | BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS, INC. | $222K | — | $222K | 1.41% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT INS SERVICES INC. | 470 ATLANTIC AVENUE, 13TH FLOOR BOSTON, MA 02210 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $16K | — | $16K | 3.88% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 470 ATLANTIC AVENUE, 13TH FLOOR BOSTON, MA 02210 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $15K | — | $15K | 4.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 470 ATLANTIC AVENUE, 13TH FLOOR BOSTON, MA 02210 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $12K | — | $12K | 3.26% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 470 ATLANTIC AVENUE, 13TH FLOOR BOSTON, MA 02210 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $18K | — | $18K | 10.00% |
| GIBSON INSURANCE AGENCY, INC.3 Filed as: DELAND GIBSON INSURANCE ASSOC, INC | 36 WASHINGTON STREET, SUITE 40 WELLESLEY, MA 024811904 | FEDERAL INSURANCE COMPANY | $5K | — | $5K | 17.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT INS SERVICES INC. | 470 ATLANTIC AVENUE, 13TH FLOOR BOSTON, MA 02210 | FIRST RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 14.60% |
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 | 619 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 619 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS, INC. | 2,123 | $16.0M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS, INC. | 2,123 | $16.0M |
| Vision | BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS, INC. | 2,123 | $15.8M |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 608 | $355K |
| Short-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 968 | $421K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 429 | $377K |
| Other(5 contracts, 4 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 968 | $987K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,123 | — |
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.