| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 115 FEDERAL STREET BOSTON, MA 02110 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | $306K | $201K | $508K | 1.33% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 470 ATLANTIC AVENUE BOSTON, MA 02210 | KAISER FOUNDATION HEALTH PLAN, INC. | $56K | $0 | $56K | 0.95% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVENUE NE, SUITE 200 BELLEVUE, WA 98004 | KAISER FOUNDATION HEALTH PLAN, INC. | $2K | $0 | $2K | 0.04% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 476 ATLANTIC AVENUE, 13TH FLOOR BOSTON, MA 02110 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $264K | $0 | $264K | 8.59% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $45K | $29K | $73K | 2.38% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | DENTAL SERVICE OF MASSACHUSETTS, INC. D/B/A DELTA DENTAL OF MA | $73K | $0 | $73K | 2.98% |
| CGF INSURANCE LLC3 Filed as: CGF INSURANCE, LLC | UNKNOWN NEWTON, MA 02458 | TRIPLE S SALUD, INC. | $40K | $0 | $40K | 4.18% |
| ACRISURE LLC3 Filed as: FULCRO INSURANCE | UNKNOWN NEWTON, MA 02458 | TRIPLE S SALUD, INC. | $8K | $0 | $8K | 0.83% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | VISION SERVICE PLAN | $5K | $0 | $5K | 1.58% |
| ACRISURE LLC3 Filed as: FULCRO INSURANCE | UNKNOWN NEWTON, MA 02458 | TRIPLE-S VIDA, INC. | $3K | $0 | $3K | 15.00% |
| INNOVA INSURANCE3 Filed as: INNOVA INSURANCE SERVICES, INC. | UNKNOWN NEWTON, MA 02458 | TRIPLE-S VIDA, INC. | $1K | $0 | $1K | 5.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK | ONE WORLD FINANCIAL CENTER NEW YORK, NY 10281 | NATIONWIDE | $341 | $0 | $341 | 9.99% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | METLIFE LEGAL PLANS | $294 | $142 | $436 | 16.11% |
| PAYLOGIX3 Filed as: PAYLOGIX, LLC | 1025 OLD COUNTRY ROAD, SUITE 310 WESTBURY, NY 11590 | METLIFE LEGAL PLANS | $0 | $92 | $92 | 3.40% |
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 | 6,291 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 31 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 173 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,495 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 6 carriers) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 4,648 | $51.1M |
| Dental | DENTAL SERVICE OF MASSACHUSETTS, INC. D/B/A DELTA DENTAL OF MA | 6,650 | $2.5M |
| Vision | VISION SERVICE PLAN | 3,494 | $343K |
| Life insurance(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 6,291 | $3.1M |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 6,291 | $3.1M |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 6,291 | $3.1M |
| Prescription drug(6 contracts, 6 carriers) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 4,648 | $51.1M |
| Other(5 contracts, 5 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 6,291 | $4.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,650 | — |
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.