| Metric | This plan | Peer median | Peer avg | vs. peer |
|---|---|---|---|---|
| Premium per covered life | $20K | $1K | $4K | +1599.1% |
| Broker comp per covered life | $143 | $59 | $82 | +142.3% |
| Broker comp % of premium | 0.7% | 2.0% | 6.1% | -1.3 pp |
| Retention rate | 7.7% | 0.0% | 4.0% | |
| Premium YoY % | -46.8% | -1.4% | -23.0% | -45.5 pp |
| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MEABT0 | 35 COMMUNITY DRIVE AUGUSTA, ME 04330 | ANTHEM HEALTH PLANS OF MAINE, INC. | — | $4.0M | $4.0M | 0.71% |
| CROSS BENEFIT SOLUTIONS4 | 2367 CONGRESS STREET PORTLAND, ME 04102 | ANTHEM HEALTH PLANS OF MAINE, INC. | — | $124K | $124K | 0.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MAINE EDUCATION ASSOCIATION EIN 01-0114035 ADMINISTRATIVE SERVICES | Contract Administrator Service code 13 | 35 COMMUNITY DRIVE AUGUSTA, ME 04330 | $798K |
| JENNIFER KENT EIN 01-0479776 EMPLOYEE | Plan Administrator Service code 14 | 35 COMMUNITY DRIVE AUGUSTA, ME 04330 | $170K |
| VERRILL & DANA LLP EIN 01-0176171 ATTORNEY | Legal Service code 29 | ONE PORTLAND SQUARE, 10TH FLOOR PORTLAND, ME 04101 | $162K |
| CHEIRON, INC ACTUARY | Consulting (general) Service code 16 | 8300 GREENSBORO DRIVE SUITE 800 MCLEAN, VA 22102 | $147K |
| MICHAEL BOOTH EIN 01-0479776 EMPLOYEE | Employee (plan) Service code 30 | 35 COMMUNITY DRIVE AUGUSTA, ME 04330 | $105K |
| SHARON BEAULIEU EIN 01-0479776 EMPLOYEE | Employee (plan) Service code 30 | 35 COMMUNITY DRIVE AUGUSTA, ME 04330 | $83K |
| LYNN ACETO EIN 01-0479776 EMPLOYEE | Employee (plan) Service code 30 | 35 COMMUNITY DRIVE AUGUSTA, ME 04330 | $76K |
| HM PAYSON EIN 01-0420707 CONSULTANT | Investment management Service code 28 | ONE PORTLAND SQUARE PORTLAND, ME 04101 | $68K |
| BERRY DUNN MCNEIL & PARKER LLC EIN 01-0523282 ACTUARY | Consulting (general) Service code 16 | — | $65K |
| REBECCA MANGIN EIN 01-0479776 EMPLOYEE | Employee (plan) Service code 30 | 35 COMMUNITY DRIVE AUGUSTA, ME 04330 | $31K |
| WIPFLI EIN 39-0758449 ACCOUNTANT | Accounting (including auditing) Service code 10 | PO BOX 8010 WAUSAU, WI 544028010 | $26K |
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 | 26,948 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11,509 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 38,457 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF MAINE, INC. | 28,876 | $563.1M |
| Vision | ANTHEM HEALTH PLANS OF MAINE, INC. | 28,778 | $2.5M |
| Prescription drug | ANTHEM HEALTH PLANS OF MAINE, INC. | 28,876 | $563.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 28,876 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.