BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

Potpourri Group, Inc.

Retail — general merchandise, sporting goods · North Billerica, Massachusetts · EIN ending 8918

Updated Filing received by DOL

Potpourri Group, Inc., a retail — general merchandise, sporting goods employer in North Billerica, Massachusetts, reported 345 participants in its health and welfare plans for plan year 2024. Its Form 5500 shows $2.0M in insurance premiums across 5 contracts and $163,777 in broker commissions and fees, 4.2% of medical premium against a national median of 3.8% among plans that paid commissions in plan year 2024. The plan is a mix of insured and self-funded coverage. The Department of Labor received the filing on November 11, 2025, before the deadline.

Participants
345
−3.1% vs 2023
Premiums filed
$2.0M
−33.6% vs 2023
Broker commissions + fees
$163,777
+11.4% vs 2023
Commission rate
4.2%
of medical premium · median 3.8%

Who was paid on Potpourri Group, Inc.'s plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Potpourri Group, Inc. filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Indigo Insurance Services · Worcester, MA$44,033$0$44,0331
Apex Benefits Partners, Inc. · Framingham, MA$36,889$0$36,8892
The Baldwin Group · Westwood, MA$34,327$38$34,3654
Jeffrey Bastien · Marlborough, MA$21,853$0$21,8532
Lori Ann Martinez · Oxford, MA$6,186$5,244$11,4301
Enrollment Solutions LTD. · Sutton, MA$3,507$4,350$7,8571
Ashley Follis · Durham, NH$2,547$588$3,1351
Mary-Joyce Licata · North Kingstown, RI$1,436$438$1,8741
Jennifer E. Lubelsky · New York, NY$1,591$181$1,7721
Walter Thomas Bonilla & Other Agnts · Medford, NY$346$188$5341
Combined Services, LLC · Concord, NH$36$0$361

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Blue Cross Blue Shield of Massachusetts, Inc.health, prescription drug, PPO367$2.0M$85,3094.2%
Metropolitan Life Insurance Companyvision284—$2,633—
Delta Dental Plan of Mainedental57—$1,694—
Colonial Life and Accident Insurance Companylife37—$30,108—
Usable Lifelife, short-term disability, long-term disability334—$44,033—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Potpourri Group, Inc. compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Potpourri Group, Inc.
$163,777
Commission rate, % of medical premium
Potpourri Group, Inc.
4.2%

Premium per covered person on medical contracts: $5,572 a year (national median $7,274).

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$3.1M$2.0MPremiums$147,059$163,777Broker pay20232024
Potpourri Group, Inc.: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants356345−3.1%
Premiums filed$3,078,597$2,044,870−33.6%
Broker commissions + fees$147,059$163,777+11.4%
Commission rate3.3%4.2%+0.8 pts

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Potpourri Group, Inc. Employee Benefit Plan#501 · insurance, general assetsMay 31, 2025November 11, 2025before deadline345
Potpourri Group, Inc. Hra Plan#502 · final filing · general assetsMay 31, 2025November 11, 2025before deadline220

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Potpourri Group, Inc. pay in health insurance broker commissions in 2024?

Potpourri Group, Inc.'s 2024 Form 5500 reports $163,777 in broker commissions and fees across 5 insurance contracts ($152,751 in commissions, $11,026 in fees), with Indigo Insurance Services receiving the largest share.

Is Potpourri Group, Inc.'s health plan self-funded or fully insured?

The 2024 filing indicates the plan is a mix of insured and self-funded coverage. Medical coverage is written by Blue Cross Blue Shield of Massachusetts, Inc..

How does Potpourri Group, Inc.'s broker compensation compare with similar employers?

Potpourri Group, Inc. paid 4.2% of medical premium in commissions and fees. The median for employers with 200-499 participants is 3.6%, and the median in Massachusetts is 2.5%. Percentages are computed only on fully insured medical contracts with filed premiums.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.