| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NEW ENGLAND, LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | $2K | $61K | $62K | 3.13% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NEW ENGLAND, LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | DELTA DENTAL OF RHODE ISLAND | $4K | — | $4K | 2.86% |
| JEREMY FRYE & ASSOCIATES INC3 Filed as: JEREMY TAYLOR STOWE | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | NORTHWESTERN MUTUAL | $8K | $2K | $10K | 7.38% |
| LEE P. TRAIBMAN3 | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | NORTHWESTERN MUTUAL | $6K | $1K | $7K | 5.53% |
| MARK W. SWISTAK3 | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | NORTHWESTERN MUTUAL | $6K | $1K | $7K | 5.53% |
| FRIELING INS AGY INC3 Filed as: FRIELING INS. AGENCY INC. | 55 WILLIAM ST., STE. 100 WELLESLEY, ME 02481 | NORTHWESTERN MUTUAL | $4K | $928 | $5K | 3.65% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NEW ENGLAND, LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | VISION SERVICE PLAN | $1K | — | $1K | 4.50% |
| EMPLOYEE NAVIGATOR, LLC5 | 7979 OLD GEORGETOWN RD., STE. 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $162 | — | $162 | 0.50% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF NEW ENGLAND, LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | DELTA DENTAL OF RHODE ISLAND | $527 | — | $527 | 2.85% |
| JEREMY FRYE & ASSOCIATES INC3 Filed as: JEREMY TAYLOR STOWE | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | NORTHWESTERN MUTUAL | $2 | $1 | $3 | 4.84% |
| MARK W. SWISTAK3 Filed as: MARK SWISTAK | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | NORTHWESTERN MUTUAL | $2 | — | $2 | 3.23% |
| LEE P. TRAIBMAN3 Filed as: LEE TRAIBMAN | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | NORTHWESTERN MUTUAL | $1 | — | $1 | 1.61% |
| FRIELING INS AGY INC3 Filed as: FRIELING INS. AGY. INC. | 55 WILLIAM ST., STE. 100 WELLESLEY, MA 02481 | NORTHWESTERN MUTUAL | $1 | — | $1 | 1.61% |
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 | 203 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 213 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | 349 | $2.0M |
| Dental(2 contracts) | DELTA DENTAL OF RHODE ISLAND | 353 | $163K |
| Vision | VISION SERVICE PLAN | 190 | $33K |
| Short-term disability | NORTHWESTERN MUTUAL | 1 | $62 |
| Long-term disability | NORTHWESTERN MUTUAL | 334 | $131K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 353 | — |
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.