| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACADIA BENEFITS INC3 Filed as: ACADIA BENEFITS, INC. | 111 COMMERCIAL ST. PORTLAND, ME 04101 | HARVARD PILGRIM HEALTH CARE | $50K | — | $50K | 2.02% |
| ACADIA BENEFITS INC3 Filed as: ACADIA BENEFITS, INC. | 111 COMMERCIAL ST. PORTLAND, ME 04101 | HARVARD PILGRIM HEALTH CARE | $30K | — | $30K | 2.02% |
| ACADIA BENEFITS INC3 Filed as: ACADIA BENEFITS, INC. | 111 COMMERCIAL ST. PORTLAND, ME 04101 | HARVARD PILGRIM HEALTH CARE | $14K | — | $14K | 2.02% |
| ACADIA BENEFITS INC3 Filed as: ACADIA BENEFITS, INC. | 111 COMMERCIAL ST., 5TH FLOOR PORTLAND, ME 04101 | DELTA DENTAL PLAN OF MAINE | $8K | — | $8K | 2.85% |
| ACADIA BENEFITS INC3 Filed as: ACADIA BENEFITS, INC. | 111 COMMERCIAL ST. PORTLAND, ME 04101 | HARVARD PILGRIM HEALTH CARE | $4K | — | $4K | 2.02% |
| ACADIA BENEFITS INC3 Filed as: ACADIA BENEFITS, INC. | 111 COMMERCIAL ST., 5TH FLOOR PORTLAND, ME 04101 | SUN LIFE ASSURANCE COMPANY OF CANADA | $9K | — | $9K | 4.58% |
| ACADIA BENEFITS INC3 Filed as: ACADIA BENEFITS, INC. | 111 COMMERCIAL ST. PORTLAND, ME 04101 | HARVARD PILGRIM HEALTH CARE | $1K | — | $1K | 2.02% |
| ACADIA BENEFITS INC3 Filed as: ACADIA BENEFITS, INC. | 111 COMMERCIAL ST., 5TH FLOOR PORTLAND, ME 04101 | ANTHEM HEALTH PLANS OF MAINE, INC. | $1K | — | $1K | 8.27% |
| ACADIA BENEFITS INC3 Filed as: ACADIA BENEFITS, INC. | 111 COMMERCIAL ST. PORTLAND, ME 04101 | HPHC INSURANCE COMPANY | $267 | — | $267 | 2.03% |
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 | 515 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 517 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE | 451 | $5.0M |
| Dental | DELTA DENTAL PLAN OF MAINE | 831 | $291K |
| Vision | ANTHEM HEALTH PLANS OF MAINE, INC. | 325 | $16K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 515 | $192K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 515 | $192K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 515 | $192K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 515 | $192K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 831 | — |
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.