| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC | — | HPHC INSURANCE COMPANY | $23K | $0 | $23K | 1.43% |
| MARSH & MCLENNAN AGENCY LLC3 | — | HPHC INSURANCE COMPANY | $16K | $0 | $16K | 1.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC | — | HPHC INSURANCE COMPANY | $13K | $0 | $13K | 0.84% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC | — | HARVARD PILGRIM HEALTH CARE | $4K | $0 | $4K | 1.60% |
| MARSH & MCLENNAN AGENCY LLC3 | — | HARVARD PILGRIM HEALTH CARE | $3K | $0 | $3K | 1.12% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC | — | HARVARD PILGRIM HEALTH CARE | $2K | $0 | $2K | 0.94% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC | 300 BALLARDVALE ST WILMINGTON, MA 01887 | DELTA DENTAL PLAN OF MAINE | $4K | $0 | $4K | 2.76% |
| MARSH & MCLENNAN AGENCY LLC3 | 101 HUNTINGTON AVE SUITE 401 BOSTON, MA 02199 | DELTA DENTAL PLAN OF MAINE | $2K | $0 | $2K | 1.18% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND, | PO BOX 696 300 BALLARDVALE ST WILMINGTON, MA 01887 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $4K | $12K | 8.73% |
| CLARK INSURANCE3 Filed as: CLARK INSURANCE, | A MARSH MCLENNAN AGENCY LLC PO BOX 3543 PORTLAND, ME 04104 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $969 | $4K | 2.82% |
| COMBINED SERVICES LLC3 | 2 DELTA DR STE 301 CONCORD, NH 03301 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 9.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND, | PO BOX 696 300 BALLARDVALE ST WILMINGTON, MA 01887 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $836 | $279 | $1K | 4.77% |
| CLARK INSURANCE3 Filed as: CLARK INSURANCE, | A MARSH MCLENNAN AGENCY LLC PO BOX 3543 PORTLAND, ME 04104 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $568 | $66 | $634 | 2.71% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC | 300 BALLARDVALE ST WILMINGTON, MA 01887 | RED TREE INSURANCE COMPANY, INC. | $884 | $0 | $884 | 7.03% |
| MARSH & MCLENNAN AGENCY LLC3 | 101 HUNTINGTON AVE SUITE 401 BOSTON, MA 02199 | RED TREE INSURANCE COMPANY, INC. | $375 | $0 | $375 | 2.98% |
| COMBINED SERVICES LLC3 | DBA CSONE BENEFIT SOLUTIONS PO BOX 1320 CONCORD, NH 033021320 | RED TREE INSURANCE COMPANY, INC. | $189 | $0 | $189 | 1.50% |
| COMBINED SERVICES LLC3 | 2 DELTA DR STE 301 CONCORD, NH 03301 | UNUM INSURANCE COMPANY | $1K | $0 | $1K | 12.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND, | PO BOX 696 300 BALLARDVALE ST WILMINGTON, MA 01887 | UNUM INSURANCE COMPANY | $593 | $89 | $682 | 5.57% |
| CLARK INSURANCE3 Filed as: CLARK INSURANCE, | A MARSH MCLENNAN AGENCY LLC PO BOX 3543 PORTLAND, ME 04104 | UNUM INSURANCE COMPANY | $387 | $34 | $421 | 3.44% |
| COMBINED SERVICES LLC3 | 2 DELTA DR STE 301 CONCORD, NH 03301 | UNUM INSURANCE COMPANY | $587 | $0 | $587 | 7.03% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND, | PO BOX 696 300 BALLARDVALE WILMINGTON, MA 01887 | UNUM INSURANCE COMPANY | $388 | $100 | $488 | 5.85% |
| CLARK INSURANCE3 Filed as: CLARK INSURANCE, | A MARSH MCLENNAN AGENCY LLC PO BOX 3543 PORTLAND, ME 04104 | UNUM INSURANCE COMPANY | $4 | $0 | $4 | 0.05% |
| COMBINED SERVICES LLC3 | 2 DELTA DR STE 301 CONCORD, NH 03301 | UNUM INSURANCE COMPANY | $787 | $0 | $787 | 9.92% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND, | PO BOX 696 300 BALLARDVALE ST WILMINGTON, MA 01887 | UNUM INSURANCE COMPANY | $519 | $104 | $623 | 7.85% |
| CLARK INSURANCE3 Filed as: CLARK INSURANCE, | A MARSH MCLENNAN AGENCY LLC PO BOX 3543 PORTLAND, ME 04104 | UNUM INSURANCE COMPANY | $5 | $0 | $5 | 0.06% |
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 | 192 | 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) | 192 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 3 carriers) | HPHC INSURANCE COMPANY | 189 | $1.9M |
| Dental | DELTA DENTAL PLAN OF MAINE | 268 | $142K |
| Vision | RED TREE INSURANCE COMPANY, INC. | 177 | $13K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 192 | $159K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 192 | $135K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 192 | $135K |
| Other(5 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 192 | $187K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 268 | — |
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.