| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: DIGITAL INSURANCE AGENCY INC. | 160 GOULD SREET, SUITE 207 NEEDHAM, MA 02492 | HARVARD PILGRIM HEALTHCARE OF NE INC- MA | $37K | $0 | $37K | 3.88% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 11.07% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE ATLANTA, MA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $4K | $4K | 5.31% |
| DIGITAL INSURANCE LLC | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | $4K | $0 | $4K | 5.40% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, NH 03302 | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | $690 | $0 | $690 | 0.89% |
| ENROLLEASE3 Filed as: DIGITAL INSURANCE AGENCY INC. | 160 GOULD SREET, SUITE 207 NEEDHAM, MA 02492 | HPHC INSURANCE COMPANY | $911 | $0 | $911 | 4.75% |
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 | 101 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 101 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HARVARD PILGRIM HEALTHCARE OF NE INC- MA | 269 | $983K |
| Dental | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | 188 | $78K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $82K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $82K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $82K |
| Prescription drug(2 contracts, 2 carriers) | HARVARD PILGRIM HEALTHCARE OF NE INC- MA | 269 | $983K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 269 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.