| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 333 ELM STREET 3RD FLOOR DEDHAM, MA 02026 | TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. | $19K | $337 | $20K | 1.60% |
| FIAI INC3 Filed as: FIAI, INC. | 1100 ELM STREET MANCHESTER, NH 03101 | TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. | $6K | — | $6K | 0.46% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 333 ELM STREET #300 DEDHAM, MA 02026 | TUFTS INSURANCE COMPANY | $3K | $164 | $3K | 1.37% |
| FIAI INC3 Filed as: FIAI, INC. | 1100 ELM STREET MANCHESTER, NH 03101 | TUFTS INSURANCE COMPANY | $1K | — | $1K | 0.48% |
| FIAI INC3 Filed as: FIAI, INC. | P.O. BOX 1388 BANGOR, ME 04402 | DENTAL SERVICE OF MASSACHUSETTS, INC. D/B/A DELTA DENTAL | $5K | — | $5K | 2.35% |
| CROSS INSURANCE3 Filed as: CROSS INSURANCE DBA FIAI, INC. | 1100 ELM STREET MANCHESTER, NH 03101 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 5.05% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 333 ELM STREET #300 DEDHAM, MA 02026 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $181 | $2K | 4.48% |
| CROSS INSURANCE3 Filed as: CROSS INSURANCE DBA FIAI, INC. | 1100 ELM STREET MANCHESTER, NH 03101 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 7.26% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 333 ELM STREET #300 DEDHAM, MA 02026 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $152 | $3K | 6.40% |
| CROSS INSURANCE3 Filed as: CROSS INSURANCE DBA FIAI, INC. | 1100 ELM STREET MANCHESTER, NH 03101 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 7.86% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICES, LLC | 2 DELTA DRIVE SUITE 301 CONCORD, NH 03301 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $233 | $233 | 0.56% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 333 ELM STREET #300 DEDHAM, MA 02026 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $16 | — | $16 | 0.04% |
| CROSS INSURANCE3 Filed as: CROSS INSURANCE DBA FIAI, INC. | 1100 ELM STREET MANCHESTER, NH 03101 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 4.78% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 333 ELM STREET #300 DEDHAM, MA 02026 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $129 | $2K | 4.39% |
| CROSS INSURANCE3 Filed as: CROSS INSURANCE DBA FIAI, INC. | 1100 ELM STREET MANCHESTER, NH 03101 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 10.69% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICES, LLC | 2 DELTA DRIVE SUITE 301 CONCORD, NH 03301 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $196 | $196 | 0.56% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 333 ELM STREET #300 DEDHAM, MA 02026 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $25 | — | $25 | 0.07% |
| CROSS INSURANCE3 Filed as: CROSS INSURANCE DBA FIAI, INC. | 1100 ELM STREET MANCHESTER, NH 03101 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 7.51% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICES, LLC | 2 DELTA DRIVE SUITE 301 CONCORD, NH 03301 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $165 | $165 | 0.56% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MASSACHUSETTS | 333 ELM STREET #300 DEDHAM, MA 02026 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $10 | — | $10 | 0.03% |
| FIAI INC3 Filed as: FIAI, INC. | 1100 ELM STREET MANCHESTER, NH 03101 | VISION SERVICE PLAN | $997 | — | $997 | 5.89% |
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 | 189 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | TUFTS ASSOCIATED HEALTH MAINTENANCE ORG., INC. | 210 | $1.5M |
| Dental | DENTAL SERVICE OF MASSACHUSETTS, INC. D/B/A DELTA DENTAL | 427 | $205K |
| Vision | VISION SERVICE PLAN | 159 | $17K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 192 | $67K |
| Short-term disability(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 192 | $95K |
| Long-term disability(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 192 | $79K |
| Other(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 192 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 427 | — |
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.