| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHN SNYDER3 | 30 SOUTHWEST PARK WESTWOOD, MA 02090 | CIGNA HEALTH AND LIFE INSURANCE | $2K | $28K | $31K | 2.86% |
| TELAMON HUMAN CAPITAL RESOURCES3 Filed as: TELAMON HUMAN CAPITAL RESOURCES GRO | 30 SOUTHWEST PARK WESTWOOD, MA 02090 | CIGNA HEALTH AND LIFE INSURANCE | $630 | $11K | $11K | 1.05% |
| JOHN D SNYDER3 | 40 COLLEGE RD WELLESLEY, MA 02482 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 9.35% |
| TELAMON HUMAN CAPITAL RESOURCES3 Filed as: TELAMON HUMAN CAPITAL RESOURCES GRO | 30 SOUTHWEST PARK WESTWOOD, MA 02090 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 15.04% |
| LYNN FEAZEL3 | 150A ANDOVER STREET STE 12C DANVERS, MA 10923 | CONTINENTAL AMERICAN INSURANCE COMPANY | $888 | — | $888 | 4.47% |
| BOHNATHAN L BAZELL3 | 903 ANN LABOR LN VERNON HILLS, IL 60061 | CONTINENTAL AMERICAN INSURANCE COMPANY | $795 | — | $795 | 4.01% |
| CHRISTOPHER C FEAZEL3 | 150A ANDOVER STREET STE 12C DANVERS, MA 01923 | CONTINENTAL AMERICAN INSURANCE COMPANY | $351 | — | $351 | 1.77% |
| DAVID S HALLETT3 | 8 BROOKS ST WINCHESTER, MA 01890 | CONTINENTAL AMERICAN INSURANCE COMPANY | $249 | — | $249 | 1.25% |
| MICHELE M BRIGHT3 | 1430 LOCH LOMOND CRYSTAL LAKE, IL 60014 | CONTINENTAL AMERICAN INSURANCE COMPANY | $209 | — | $209 | 1.05% |
| MICHAEL E MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $119 | — | $119 | 0.60% |
| SARAH B DALY3 | 11835 W OLYMPIC BLVD #795C LOS ANGELES, CA 90064 | CONTINENTAL AMERICAN INSURANCE COMPANY | $91 | — | $91 | 0.46% |
| FERDINAND A KOUEMENI3 | 583 OLD STATE RD MIDDLETOWN, DE 19709 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| JOHN T CAPOZZI3 | 242 WICKERBERRY DRIVE MIDDLETON, DE 19709 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| LISA CAPOZZI3 Filed as: LISA M CAPOZZI | 242 WICKERBERRY DRIVE MIDDLETOWN, DE 19709 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| TELAMON HUMAN CAPITAL RESOURCES3 Filed as: TELAMON HUMAN CAPITAL | RESOURCES GROUP LLC 30 SOUTHWEST PARK WESTWOOD, MA 02090 | VISION SERVICE PLAN | $497 | — | $497 | 4.97% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC | 221 S CHURCH ST BOWLING GREEN, OH 43402 | VISION SERVICE PLAN | $44 | — | $44 | 0.44% |
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 | 106 | 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) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE | 139 | $1.1M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE | 139 | $1.1M |
| Vision(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE | 139 | $1.1M |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 106 | $70K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 106 | $70K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 106 | $70K |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 106 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 139 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.