| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CGI EMPLOYEE BENEFITS GROUP3 | 171 LONDONDERRY TURNPIKE RD. HOOKSETT, NH 03106 | HARVARD PILGRIM HEALTH CARE OF NE, INC. - MA | $54K | $0 | $54K | 2.08% |
| CGI EMPLOYEE BENEFITS GROUP3 | 171 LONDONDERRY TURNPIKE ROAD HOOKSETT, NH 03106 | HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC. - MA | $9K | $0 | $9K | 2.08% |
| CGI EMPLOYEE BENEFITS GROUP3 Filed as: CGI EMPLOYEE BENEFITS | 171 LONDONDERRY TURNPIKE ROAD HOOKSETT, NH 30106 | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | $11K | $0 | $11K | 4.12% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, NH 033021320 | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | $2K | $0 | $2K | 0.78% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: STEPHEN M BROWN | 30 INTERNATIONALDR STE 101 PORTSMOUTH, NH 03801 | ANTHEM LIFE INSURANCE COMPANY | $16K | $0 | $16K | 12.52% |
| CGI EMPLOYEE BENEFITS GROUP3 | 171 LONDONDERRY TURNPIKE RD HOOKSETT, NH 03106 | HPHC INSURANCE COMPANY | $881 | $0 | $881 | 2.08% |
| CGI EMPLOYEE BENEFITS GROUP3 | 171 LONDONDERRY TURNPIKE HOOKSETT, NH 03106 | HPHC INSURANCE COMPANY | $389 | $0 | $389 | 2.09% |
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 | 345 | 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) | 347 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | HARVARD PILGRIM HEALTH CARE OF NE, INC. - MA | 377 | $3.1M |
| Dental | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | 518 | $274K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 345 | $130K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 345 | $130K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 345 | $130K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 345 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 518 | — |
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.