| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CRONIN GERVINO & WARLICK INC3 Filed as: CRONIN AND GERVINO INSURANCE | 171 LONDONBERRY TURNPIKE HOOKSETT, NH 03106 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $2K | $7K | 2.58% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES | 1250 SOUTH CAPITAL OF TEXAS HIGHWAY BUILDING 2, SUITE 125 AUSTIN, TX 78746 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 0.83% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 62939 VIRGINIA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 0.57% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 61007 VIRGINIA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | — | $1K | $1K | 0.50% |
| CGI EMPLOYEE BENEFITS GROUP3 | UNKNOWN PORTLAND, ME 04103 | HARVARD PILGRIM HEALTH CARE | $4K | — | $4K | 1.88% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 75 JOHN ROBERTS ROAD SOUTH PORTLAND, ME 04106 | HARVARD PILGRIM HEALTH CARE | $3K | — | $3K | 1.27% |
| CRONIN GERVINO & WARLICK INC3 Filed as: CRONIN GERVINO AND WARLOCK INC. | 171 LONDONBERRY TURNPIKE HOOKSETT, NH 03106 | ANTHEM LIFE INSURANCE COMPANY | $7K | — | $7K | 5.54% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 62937 VIRGINIA BEACH, VA 23466 | ANTHEM LIFE INSURANCE COMPANY | $3K | — | $3K | 2.09% |
| CGI EMPLOYEE BENEFITS GROUP3 | UNKNOWN PORTLAND, ME 04103 | HPHC INSURANCE COMPANY | $418 | — | $418 | 1.89% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 75 JOHN ROBERTS ROAD SOUTH PORTLAND, ME 04106 | HPHC INSURANCE COMPANY | $282 | — | $282 | 1.28% |
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 | 727 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 731 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE | 39 | $228K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 672 | $274K |
| Vision | ANTHEM HEALTH PLANS OF MAINE, INC. | 388 | $21K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 727 | $128K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 727 | $128K |
| Prescription drug(2 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE | 39 | $228K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 727 | $128K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 727 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.