| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 8110 EAST UNION, SUITE 700 DENVER, CO 80237 | ANTHEM HEALTH PLANS OF MAINE, INC. | $39K | $0 | $39K | 1.09% |
| EXECUTIVE INSURANCE ADVISORS LLC3 | PO BOX 59816 POTOMAC, MD 20859 | SUN LIFE ASSURANCE COMPANY OF CANADA | $39K | $0 | $39K | 10.00% |
| LOCKTON COMPANIES, LLC3 | PO BOX 123042 DALLAS, TX 75312 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $23K | $5K | $28K | 8.36% |
| AGIS NETWORK INC3 Filed as: AGIS NETWORK INC. | 2122 KRATKY ROAD SAINT LOUIS, MO 63114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | $0 | $10K | 2.98% |
| LOCKTON COMPANIES, LLC3 | PO BOX 417484 BOSTON, MA 02241 | AETNA LIFE INSURANCE COMPANY | $28K | $0 | $28K | 9.95% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES NORTHEAST INC. | 165 BROADWAY, 33RD FLOOR NEW YORK, NY 10006 | FEDERAL INSURANCE COMPANY | $527 | $0 | $527 | 20.01% |
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 | 263 | 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) | 263 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF MAINE, INC. | 503 | $3.6M |
| Dental | AETNA LIFE INSURANCE COMPANY | 482 | $278K |
| Vision | ANTHEM HEALTH PLANS OF MAINE, INC. | 503 | $3.6M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 263 | $334K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 264 | $391K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 264 | $391K |
| Prescription drug | ANTHEM HEALTH PLANS OF MAINE, INC. | 503 | $3.6M |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 264 | $728K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 503 | — |
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.