| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MOSSE AND MOSSE ASSOCIATES, INC.3 Filed as: MOSSE AND MOSSE INS ASSOC INC | 50 SALEM ST STE B LYNNFIELD, MA 019402600 | METROPOLITAN LIFE INSURANCE COMPANY | $38K | $76 | $38K | 2.90% |
| JONATHAN R MOSSE3 Filed as: JONATHAN MOSSE | 160 FEDERAL STREET 2ND FLOOR BOSTON, MA 02110 | BLUE CROSS BLUE SHIELD OF MICHIGAN | $6K | $990 | $7K | 0.68% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC | 160 FEDERAL STREET BOSTON, MA 02110 | NATIONAL VISION ADMINISTRATORS, LLC NGL | $12K | — | $12K | 7.49% |
| MOSSE AND MOSSE ASSOCIATES, INC.3 | 50 SALEM ST BLDG B LYNNFIELD, MA 01940 | NATIONAL VISION ADMINISTRATORS, LLC NGL | $4K | — | $4K | 2.51% |
| MOSSE AND MOSSE ASSOCIATES, INC.3 Filed as: MOSSE & MOSSE INS ASSOC LLC | 50 SALEM ST, BLDG B LYNNFIELD, MA 01940 | HYATT LEGAL PLANS | $4K | — | $4K | 10.82% |
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 | 1,192 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,205 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 2,461 | $1.3M |
| Vision | NATIONAL VISION ADMINISTRATORS, LLC NGL | 2,479 | $162K |
| Other(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MICHIGAN | 229 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,479 | — |
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.