No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BULE CROSS AND BLUE SHIELD EIN 31-1705652 CLAIMS ADMINISTRATOR | Claims processing Service code 12 | 2 GANNETT DRIVE PORTLAND, ME 041066911 | $1.8M |
| GROUP DYNAMIC INC. EIN 01-0453342 SEC 125 CONTRACT ADMIN | Contract Administrator Service code 13 | 411 US ROUTE 1 FALMOUTH, ME 04105 | $153K |
| MAINE AUTOMOBILE DEALERS ASSOCIATIO EIN 01-0191203 PARTY-IN-INTEREST | Plan Administrator Service code 14 | PO BOX 2667 AUGUSTA, ME 043382667 | $144K |
| PROVIDENCE TECHNOLOGY SOLUTIONS LLC EIN 47-1466401 CONSULTANT | Consulting (general) Service code 16 | 6440 SOUTHPOINT PARKWAY SUITE 300 JACKSONVILLE, FL 32216 | $54K |
| RUBENSTEIN ACTUARIAL SERVICES LLC ACTUARIAL | Actuarial Service code 11 | 61 SUMMIT AVE SHARON, MA 02067 | $43K |
| RM DAVIS EIN 01-0356657 INVESTMENT ADVISOR | Investment advisory (plan) Service code 27 | 24 CITY CENTER PORTLAND, ME 041014090 | $41K |
| PRETI, FLAHERTY BELIVEAU & PACHIOS EIN 01-0502585 LEGAL | Legal Service code 29 | PO BOX 9546 PORTLAND, ME 041129546 | $32K |
| MACPAGE LLC EIN 01-0242373 ACCOUNTANT | Accounting (including auditing) Service code 10 | ONE MARKET SQUARE AUGUSTA, ME 04330 | $25K |
| RICHARD DEPATIE EIN 04-1260706 CONSULTANT | Consulting (general) Service code 16 | 569 WEED STREET NEW CANAAN, CT 06840 | $18K |
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 | 3,283 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 15 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,298 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 2,939 | $692K |
| Short-term disability(2 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 2,939 | $342K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 3,227 | $214K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,227 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.