| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MOSSE AND MOSSE ASSOCIATES, INC.3 Filed as: MOSSE AND MOSSE ASSOCIATES INC | 50 SALEM STREET BUILDING B LYNNFIELD, MA 01940 | AETNA HEALTH, INC. | $23K | — | $23K | 1.30% |
| DANIEL WARD RICHARDSON3 Filed as: DANIEL J PINEAU | 36 WILLETT AVE RIVERSIDE, RI 02915 | BLUE CROSS BLUE SHIELD OF RHODE ISLAND | $9K | — | $9K | 1.46% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AETNA LIFE INSURANCE COMPANY | $20K | — | $20K | 3.27% |
| MOSSE AND MOSSE ASSOCIATES, INC.3 Filed as: MOSSE AND MOSSE ASSOCIATES INC | 50 SALEM STREET BUILDING B LYNNFIELD, MA 01940 | AETNA LIFE INSURANCE COMPANY | $9K | — | $9K | 1.54% |
| MERCER HEALTH AND BENEFITS, LLC3 | 99 HIGH ST BOSTON, MA 02110 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | — | $7K | 2.79% |
| MOSSE AND MOSSE ASSOCIATES, INC.3 Filed as: MOSSE AND MOSSE ASSOCIATES INC | 50 SALEM STREET BUILDING B LYNNFIELD, MA 01940 | UNITEDHEALTHCARE INSURANCE COMPANY | $840 | — | $840 | 0.33% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | $2K | $4K | 3.15% |
| MERCER HEALTH AND BENEFITS, LLC3 | 99 HIGH ST BOSTON, MA 02110 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 4.65% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | NEIGHBORHOOD HEALTH PLAN, INC. | $2K | — | $2K | 4.33% |
| DANIEL WARD RICHARDSON3 Filed as: DANIEL J PINEAU | 36 WILLETT AVE RIVERSIDE, RI 02915 | UNION SECURITY INSURANCE COMPANY | $4K | — | $4K | 10.99% |
| BUSINESS BENEFITS PLANNING3 | 36 WILLETT AVENUE RIVERSIDE, RI 02915 | DELTA DENTAL OF RHODE ISLAND | $2K | — | $2K | 4.95% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | $3K | — | $3K | 14.21% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HUMAN RESOURCE | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | — | $333 | $333 | 1.50% |
| BUSINESS BENEFITS PLANNING3 | 36 WILLETT AVENUE RIVERSIDE, RI 02915 | DELTA DENTAL OF RHODE ISLAND | $260 | — | $260 | 4.39% |
| MERCER HEALTH AND BENEFITS, LLC3 | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $704 | $69 | $773 | 17.10% |
| BUSINESS BENEFITS PLANNING3 | 36 WILLETT AVENUE RIVERSIDE, RI 02915 | DELTA DENTAL OF RHODE ISLAND | $137 | — | $137 | 4.96% |
| MOSSE AND MOSSE ASSOCIATES, INC.3 Filed as: MOSSE AND MOSSE ASSOCIATES INC | 50 SALEM STREET BUILDING B LYNNFIELD, MA 01940 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $202 | — | $202 | 8.57% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES, INC | 1250 CAPITAL OF TEXAS HWY BLDG 2, STE 125 AUSTIN, TX 78746 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $11 | $11 | 0.47% |
| BUSINESS BENEFITS PLANNING3 | 36 WILLETT AVENUE RIVERSIDE, RI 02915 | DELTA DENTAL OF RHODE ISLAND | $97 | — | $97 | 4.92% |
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 | 245 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 248 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(8 contracts, 6 carriers) | AETNA HEALTH, INC. | 1,176 | $3.5M |
| Dental(8 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 1,176 | $1.1M |
| Vision(4 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 51 | $474K |
| Life insurance(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 1,176 | $644K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 11 | $2K |
| Long-term disability(3 contracts, 3 carriers) | UNION SECURITY INSURANCE COMPANY | 146 | $63K |
| Other(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 47 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,176 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.