No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EVOLENT HEALTH LLC EIN 45-3084136 CLAIMS ADMINSTRATION | Contract Administrator; Claims processing; Participant communication; Other services; Named fiduciary; Direct payment from the plan; Float revenue Service code 12 | 800 NORTH GLEBE ROAD SUITE 500 ARLINGTON, VA 22203 | $3.6M |
| BEACON HEALTH, LLC EIN 45-2967056 RELATED TO EMPLOYER | Consulting (general); Direct payment from the plan Service code 16 | 43 WHITING HILL RD BREWER, ME 04412 | $2.0M |
| GEISINGER INDEMNITY INSURANCE CO EIN 23-2815174 CLAIM ADMINISTRATION | Contract Administrator; Named fiduciary; Participant communication; Direct payment from the plan; Other services; Float revenue; Claims processing; Non-monetary compensation Service code 12 | — | $691K |
| EASTERN MAINE HEALTHCARE SYSTEMS EIN 01-0527066 EMPLOYER | Consulting (general); Direct payment from the plan; Contract Administrator Service code 13 | 43 WHITING HILL RD BREWER, ME 04412 | $131K |
| ACADIA BENEFITS EIN 01-0458116 CONSULTANT | Direct payment from the plan; Consulting (pension) Service code 17 | 111 COMMERCIAL STREET 5TH FLOOR PORTLAND, ME 04101 | $95K |
| BERRY DUNN EIN 01-0523282 ACTUARIAL SERVICES | Accounting (including auditing); Actuarial Service code 10 | 100 MIDDLE STREET PO BOX 1100 PORTLAND, ME 041041100 | $52K |
| BENEFIT STRATEGIES EIN 26-0003294 TPA | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Claims processing Service code 12 | 967 ELM STREET MANCHESTER, NH 03101 | $36K |
| TD BANK, N.A. EIN 01-0137770 TRUSTEE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | 77 EXCHANGE ST BANGOR, ME 04401 | $8K |
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 | 8,508 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 546 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 128 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 9,182 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 8,567 | $508K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,567 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.