| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC-3 | BALLARDVALE STREET, HUB PO BOX 696 WILMINGTON, MA 01887 | ANTHEM HEALTH PLANS OF MAINE, INC (G1850) | $19K | $0 | $19K | 2.33% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC-2 | BALLARDVALE STREET WILMINGTON, MA 01887 | ANTHEM HEALTH PLANS OF MAINE, INC (G1850) | $5K | $0 | $5K | 0.63% |
| SAWYER, RICHARD W3 | ONE UNIVERSITY PARK 25 SAWYER RD WALTHAM, MA 02154 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $0 | $6K | 3.01% |
| NORTON FINANCIAL SERVICES3 | 275 US ROUTE ONE CUMBERLAND FORESIDE, ME 04110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $789 | $2K | $3K | 8.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NE LLC | 299 BALLARDVALE ST WILMINGTON, MA 01887 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.90% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC-3 | PO BOX 709 96 SHAKER ROAD E. LONGMEADOW, MA 01028 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 9.04% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NEW ENGLAND LLC-3 | 299 BALLARDVALE ST WILMINGTON, MA 01887 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $499 | $499 | 1.84% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MIDWEST LTD | EMPLOYEE BENEFITS DEPT 55 E JACKSON BLVD #14A CHICAGO, IL 60604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $0 | $0 | 0.00% |
| TETU, DANIEL D3 | 275 US ROUTE 1 CUMBERLAND FORESIDE, ME 04110 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 13.63% |
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 | 108 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF MAINE, INC (G1850) | 95 | $802K |
| Dental | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 40 | $36K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 108 | $27K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 108 | $191K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 108 | $44K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 108 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.