| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VARNEY & COMPANY BENEFITS ADVISORS3 | 32 OAK STREET BANGOR, ME 04401 | HPHC INSURANCE COMPANY | $36K | — | $36K | 2.37% |
| VARNEY & COMPANY BENEFITS ADVISORS3 | — | HPHC INSURANCE COMPANY | $11K | — | $11K | 2.38% |
| VARNEY & COMPANY BENEFITS ADVISORS3 | 32 OAK ST. BANGOR, ME 04401 | DELTA DENTAL PLAN OF MAINE | $5K | — | $5K | 5.01% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICES LLC DBA CSONE BEN | PO BOX 1320 CONCORD, NH 033021320 | DELTA DENTAL PLAN OF MAINE | $911 | — | $911 | 0.85% |
| VARNEY & COMPANY BENEFITS ADVISORS3 | 32 OAK ST. BANGOR, ME 04401 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 7.20% |
| VARNEY & COMPANY BENEFITS ADVISORS3 | 32 OAK ST. BANGOR, ME 04401 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 10.59% |
| VARNEY & COMPANY BENEFITS ADVISORS3 | 32 OAK ST. BANGOR, ME 04401 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 7.88% |
| VARNEY & COMPANY BENEFITS ADVISORS3 | 32 OAK ST. BANGOR, ME 04401 | RED TREE INSURANCE COMPANY, INC | $938 | — | $938 | 10.08% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICES LLC DBA CSONE BEN | PO BOX 1320 CONCORD, NH 033021320 | RED TREE INSURANCE COMPANY, INC | $141 | — | $141 | 1.51% |
| VARNEY & COMPANY BENEFITS ADVISORS3 | 32 OAK ST. BANGOR, ME 04401 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $417 | — | $417 | 12.01% |
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 | 119 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HPHC INSURANCE COMPANY | 149 | $2.0M |
| Dental | DELTA DENTAL PLAN OF MAINE | 214 | $107K |
| Vision | RED TREE INSURANCE COMPANY, INC | 188 | $9K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 119 | $35K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 119 | $43K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 119 | $36K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 119 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 214 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.