| 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 MASSACHUSETTS, INC. | $27K | — | $27K | 1.90% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP INC DBA BRIO | 30 BROAD ST 35TH FL NEW YORK, NY 10004 | STANDARD INSURANCE COMPANY | $11K | — | $11K | 7.58% |
| ADP INC3 | ATTN CLIENT AR #1642835 PO BOX 830272 PHILADELPHIA, PA 19182 | STANDARD INSURANCE COMPANY | — | $4K | $4K | 2.87% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL HILL VIEW BLVD SUITE 240 CRANSTON, RI 02920 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 1.18% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP INC | 30 BROAD ST 35TH FL NEW YORK, NY 10004 | VISION SERVICES PLAN | $694 | — | $694 | 7.76% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD 2ND FL HAUPPAUGE, NY 11788 | VISION SERVICES PLAN | $129 | — | $129 | 1.44% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLANG LLC | 2000 CHAPEL VIEW BLVD STE 240 CRANSTON, RI 02920 | VISION SERVICES PLAN | $63 | — | $63 | 0.70% |
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 | 149 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 149 | $1.4M |
| Dental | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 149 | $1.4M |
| Vision | VISION SERVICES PLAN | 121 | $9K |
| Life insurance | STANDARD INSURANCE COMPANY | 155 | $139K |
| Short-term disability | STANDARD INSURANCE COMPANY | 155 | $139K |
| Long-term disability | STANDARD INSURANCE COMPANY | 155 | $139K |
| Other(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. | 155 | $1.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 155 | — |
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.