| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CROSS BENEFIT SOLUTIONS | 166 COMMUNITY DRIVE AUGUSTA, ME 04330 | TRANSAMERICA LIFE INSURANCE COMPANY | $755 | — | $755 | 1.32% |
| COMBINED SERVICES LLC | TWO DELTA DRIVE CONCORD, NH 03301 | TRANSAMERICA LIFE INSURANCE COMPANY | $504 | — | $504 | 0.88% |
| PETER PELLETIER | PO BOX 680 INTERVALE, NH 03845 | TRANSAMERICA LIFE INSURANCE COMPANY | $73 | — | $73 | 0.13% |
| STEVEN ROCKWELL | 73 ROUTE 1235 STODDARD, NH 03464 | TRANSAMERICA LIFE INSURANCE COMPANY | $73 | — | $73 | 0.13% |
| WILLIAM VELTO Filed as: WILLIAM J VELTO | PO BOX 377 ORANGEBURG, NY 10962 | TRANSAMERICA LIFE INSURANCE COMPANY | $7 | — | $7 | 0.01% |
| CROSS BENEFIT SOLUTIONS3 Filed as: CROSS BENEFITS SOLUTIONS | 116 COMMUNITY DRIVE AUGUSTA, ME 04334 | PRINCIPAL LIFE INSURANCE | $751 | $139 | $890 | 7.60% |
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 | 185 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 185 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | TRANSAMERICA LIFE INSURANCE COMPANY | 217 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 217 | — |
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.