| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: JENNIFER A. BORISLOW INS. AGENCY | 1 GRIFFIN BROOK DRIVE 2ND FLOOR METHUEN, MA 01844 | HARVARD PILGRIM HEALTH CARE | $19K | — | $19K | 0.38% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE,INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | HARVARD PILGRIM HEALTH CARE | $15K | — | $15K | 0.30% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MASSACHUSETTS, INC. | 3 COPLEY PLACE, SUITE 300 BOSTON, MA 02116 | HARVARD PILGRIM HEALTH CARE | $99 | — | $99 | 0.00% |
| ASSUREDPARTNERS3 Filed as: JENNIFER A. BORISLOW INS. AGENCY | ONE GRIFFIN BROOK DRIVE 2ND FLOOR METHUEN, MA 01844 | DENTAL SERVICE OF MASSACHUSETTS, INC. DBA DELTA DENTAL OF MA | $5K | — | $5K | 1.09% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES | 340 MADISON AVENUE 21ST FLOOR NEW YORK, NY 10173 | DENTAL SERVICE OF MASSACHUSETTS, INC. DBA DELTA DENTAL OF MA | $3K | — | $3K | 0.77% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE,INC. | 160 GOULD STREET NEEDHAM, MA 02492 | DENTAL SERVICE OF MASSACHUSETTS, INC. DBA DELTA DENTAL OF MA | $2K | — | $2K | 0.38% |
| ASSUREDPARTNERS3 Filed as: JENNIFER A. BORISLOW INS. AGENCY | ONE GRIFFIN BROOK DRIVE 2ND FLOOR METHUEN, MA 01844 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $32K | $4K | $36K | 8.36% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES | 340 MADISON AVENUE 21ST FLOOR NEW YORK, NY 10173 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $18K | $6K | $24K | 5.60% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE,INC | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $15K | $2K | $17K | 3.94% |
| ASSUREDPARTNERS3 Filed as: JENNIFER A. BORISLOW INS. AGENCY | ONE GRIFFIN BROOK DRIVE 2ND FLOOR METHUEN, MA 01844 | HPHC INSURANCE COMPANY | $736 | — | $736 | 0.40% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE,INC | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | HPHC INSURANCE COMPANY | $589 | — | $589 | 0.32% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF MASSACHUSETTS INC | 3 COPLEY PLACE SUITE 300 BOSTON, MA 02116 | HPHC INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| ASSUREDPARTNERS3 Filed as: JENNIFER A. BORISLOW INS. AGENCY | ONE GRIFFIN BROOK DRIVE 2ND FLOOR METHUEN, MA 01844 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $720 | $6K | 8.83% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES | 340 MADISON AVE 21ST FLOOR NEW YORK, NY 10173 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $1K | $5K | 6.50% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE,INC | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $216 | $2K | 2.65% |
| ASSUREDPARTNERS3 Filed as: JENNIFER A. BOARISLOW INS. AGENCY | 1 GRIFFIN BROOK DRIVE METHUEN, MA 01844 | VISION SERVICE PLAN | $904 | — | $904 | 2.42% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES | 340 MADISON AVE 21ST FLOOR NEW YORK, NY 10173 | VISION SERVICE PLAN | $670 | — | $670 | 1.80% |
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 | 375 | 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) | 375 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE | 980 | $5.2M |
| Dental | DENTAL SERVICE OF MASSACHUSETTS, INC. DBA DELTA DENTAL OF MA | 1,030 | $446K |
| Vision | VISION SERVICE PLAN | 325 | $37K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 375 | $433K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 375 | $433K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 375 | $433K |
| Prescription drug(2 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE | 980 | $5.2M |
| Other(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 375 | $503K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,030 | — |
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.