| 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 | $4K | $52K | $56K | 2.31% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET 2ND FLOOR BOSTON, MA 02110 | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | $0 | $12K | $12K | 0.50% |
| JEREMY FRYE & ASSOCIATES INC3 Filed as: JEREMY TAYLOR STOWE | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | NORTHWESTERN MUTUAL | $10K | $2K | $12K | 6.85% |
| LEE P. TRAIBMAN3 | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | NORTHWESTERN MUTUAL | $7K | $2K | $9K | 5.14% |
| MARK W. SWISTAK3 | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | NORTHWESTERN MUTUAL | $7K | $2K | $9K | 5.14% |
| PETER J WARREN3 | 275 PROMENADE ST STE 300 PROVIDENCE, RI 02908 | NORTHWESTERN MUTUAL | $658 | $236 | $894 | 0.51% |
| RUSSO GROUP LLC3 | 8573 3RD AVE FL 23N NEW YORK, NY 10022 | NORTHWESTERN MUTUAL | $631 | $227 | $858 | 0.49% |
| 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 | $0 | $4K | 2.05% |
| RISK STRATEGIES COMPANY3 | 160 FEDERAL STREET BOSTON, MA 02110 | DELTA DENTAL OF RHODE ISLAND | $1K | $0 | $1K | 0.59% |
| 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 | $0 | $1K | 3.80% |
| EMPLOYEE NAVIGATOR, LLC5 | 7979 OLD GEORGETOWN RD., STE. 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $158 | $0 | $158 | 0.42% |
| 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 | $586 | $0 | $586 | 2.12% |
| RISK STRATEGIES COMPANY3 | 160 FEDERAL STREET BOSTON, MA 02110 | DELTA DENTAL OF RHODE ISLAND | $152 | $0 | $152 | 0.55% |
| JEREMY FRYE & ASSOCIATES INC3 Filed as: JEREMY TAYLOR STOWE | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $981 | $0 | $981 | 4.00% |
| MARK W. SWISTAK3 Filed as: MARK SWISTAK | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $736 | $0 | $736 | 3.00% |
| LEE P. TRAIBMAN3 Filed as: LEE TRAIBMAN | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $736 | $0 | $736 | 3.00% |
| JEREMY STOWE3 | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 6.00% |
| LEE P. TRAIBMAN3 Filed as: LEE TRAIBMAN | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $768 | $0 | $768 | 4.50% |
| MARK W. SWISTAK3 Filed as: MARK SWISTAK | 275 PROMENADE ST., STE. 300 PROVIDENCE, RI 02908 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $768 | $0 | $768 | 4.50% |
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 | 370 | 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) | 370 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | 413 | $2.4M |
| Dental(2 contracts) | DELTA DENTAL OF RHODE ISLAND | 417 | $200K |
| Vision | VISION SERVICE PLAN | 219 | $38K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 370 | $42K |
| Long-term disability | NORTHWESTERN MUTUAL | 423 | $176K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 370 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 423 | — |
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.