| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND, LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | KAISER FOUNDATION HEALTH PLAN INC. | $86K | — | $86K | 2.71% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | HARTFORD LIFE AND ACCIDENT | $85K | — | $85K | 4.16% |
| IKON BENEFITS GROUP, INC.3 Filed as: IKON BENEFITS GROUP | 270 MUNOZ RIVERA STE. PH-1 SAN JUAN, PR 00918 | TRIPLE S SALUD, INC. | $27K | — | $27K | 4.95% |
| IKON BENEFITS GROUP, INC.3 Filed as: IKON BENEFITS GROUP | 270 MUNOZ RIVERA AVE. STE. PH-1 SAN JUAN, PR 00918 | DELTA DENTAL OF PUERTO RICO, INC. | $5K | — | $5K | 10.00% |
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 | 4,226 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 283 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,509 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 636 | $3.7M |
| Dental | DELTA DENTAL OF PUERTO RICO, INC. | 327 | $47K |
| Vision | VISION SERVICE PLAN | 5,401 | $285K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 4,226 | $2.0M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 4,226 | $2.0M |
| Prescription drug | TRIPLE S SALUD, INC. | 323 | $538K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 8,534 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,534 | — |
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.