| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: JENNIFER A. BORISLOW INS AGENCY | 1 GRIFFIN BROOK DRIVE METHUEN, MA 01844 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $17K | $15K | $32K | 12.49% |
| PAYCOM PAYROLL LLC5 Filed as: PAYCOM PAYROLL, LLC | 7501 WEST MEMORIAL ROAD OKLAHOMA CITY, OK 73142 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $6K | $6K | 2.22% |
| ASSUREDPARTNERS3 Filed as: JENNIFER A. BORISLOW INS AGENCY | 1 GRIFFIN BROOK DRIVE METHUEN, MA 01844 | UNITEDHEALTHCARE INSURANCE COMPANY | $13K | -$181 | $13K | 10.09% |
| ASSUREDPARTNERS3 Filed as: JENNIFER A. BORISLOW INS AGENCY | 1 GRIFFIN BROOK DRIVE SUITE 700 METHUEN, MA 01844 | METROPOLITAN GENERAL INSURANCE COMPANY | $128 | $0 | $128 | 0.82% |
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 | 261 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 262 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 140 | $130K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 140 | $130K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 278 | $255K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 278 | $255K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 278 | $255K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 278 | $271K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 278 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.