| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TBR ASSOCIATES3 | UNKNOWN WEST BRIDGEWATER, MA 02379 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $51K | $0 | $51K | 2.39% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS AND GRAY INS. AGENCY, INC. | 434 ROUTE 134, SUITE F1 SOUTH DENNIS, MA 02660 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $7K | $1K | $8K | 0.38% |
| TINA WRIGHT3 | UNKNOWN MEDWAY, MA 02053 | MONY LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 7.98% |
| INDIGO INSURANCE SERVICES3 | UNKNOWN WORCESTER, MA 01608 | MONY LIFE INSURANCE COMPANY OF AMERICA | $0 | $8K | $8K | 7.00% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS AND GRAY INS. AGENCY, INC. | 434 ROUTE 134, SUITE F1 SOUTH DENNIS, MA 02660 | MONY LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 2.64% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS AND GRAY INS. AGENCY, INC. | 434 ROUTE 134 SOUTH DENNIS, MA 02660 | VISION SERVICE PLAN | $340 | $0 | $340 | 2.35% |
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 | 240 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 240 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 339 | $2.1M |
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 339 | $2.1M |
| Vision | VISION SERVICE PLAN | 123 | $14K |
| Life insurance | MONY LIFE INSURANCE COMPANY OF AMERICA | 240 | $115K |
| Short-term disability | MONY LIFE INSURANCE COMPANY OF AMERICA | 240 | $115K |
| Long-term disability | MONY LIFE INSURANCE COMPANY OF AMERICA | 240 | $115K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 339 | $2.1M |
| Other | MONY LIFE INSURANCE COMPANY OF AMERICA | 240 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 339 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.