| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NATIONAL WORKSITE BENEFIT GROUP3 Filed as: NATIONAL WORKSITE BENEFITS GRP | 6 E. CHESTNUT ST. STE 520 AUGUSTA, ME 04330 | ANTHEM HEALTH PLANS OF MAINE, INC. | $18K | — | $18K | 1.28% |
| NATIONAL WORKSITE BENEFIT GROUP3 | 47 WALTER STREET, STE. 102 HALLOWELL, ME 04347 | ANTHEM LIFE INSURANCE COMPANY | $18K | — | $18K | 11.57% |
| MAINE VOLUNTARY BENEFITS3 | 47 WATER ST STE 102 HALLOWELL, ME 04347 | DELTA DENTAL PLAN OF MAINE | $5K | — | $5K | 4.40% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, NH 033021320 | DELTA DENTAL PLAN OF MAINE | $1K | — | $1K | 1.12% |
| NATIONAL WORKSITE BENEFIT GROUP3 | 47 WATER ST, STE 102 HALLOWELL, ME 04347 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $106 | — | $106 | 14.99% |
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 | 291 | 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) | 291 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF MAINE, INC. | 351 | $1.5M |
| Dental | DELTA DENTAL PLAN OF MAINE | 259 | $115K |
| Vision | ANTHEM HEALTH PLANS OF MAINE, INC. | 351 | $1.4M |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 291 | $155K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 291 | $155K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 291 | $155K |
| Prescription drug | AETNA LIFE INSURANCE CO. | 20 | $14K |
| Other(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 291 | $156K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 351 | — |
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.