| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MOSSE AND MOSSE ASSOCIATES, INC.3 Filed as: MOSSE AND MOSSE INS AASOC INC | 50 SALEM ST STE B LYNNFIELD, MA 019402600 | METROPOLITAN LIFE INSURANCE COMPANY | $32K | $11K | $43K | 4.04% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INS SRVCS INC | 1250 S CAPITAL OF TX HGHWY AUSTIN, TX 787466446 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 0.90% |
| JONATHAN R MOSSE3 Filed as: JONATHAN MOSSE | 50 SALEM STREET BLDG B LYNNFIELD, MA 01940 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $33K | — | $33K | 3.52% |
| MOSSE AND MOSSE ASSOCIATES, INC.3 Filed as: MOSSE AND MOSSE INS ASOC INC | 50 SALEM ST BLDG B LYNNFIELD, MA 01940 | NATIONAL VISION ADMINISTRATORS, LLC | $15K | — | $15K | 10.00% |
| MOSSE AND MOSSE ASSOCIATES, INC.3 Filed as: MOSSE & MOSSE INS ASSOC LLC | 50 SALEM ST, BLDG B LYNNFIELD, MA 01940 | HYATT LEGAL PLANS | $6K | $646 | $7K | 12.08% |
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 | 1,106 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,112 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 2,091 | $1.1M |
| Vision | NATIONAL VISION ADMINISTRATORS, LLC | 2,264 | $155K |
| Other(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 1,112 | $999K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,264 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.