| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CRONIN GERVINO & WARLICK INC3 | 5 DARTMOUTH DRIVE, UNIT 101 AUBURN, NH 03032 | MATTHEW THORNTON HEALTH PLAN, INC. | $15K | $0 | $15K | 1.49% |
| CRONIN GERVINO & WARLICK INC3 | 5 DARTMOUTH DRIVE, UNIT 101 AUBURN, NH 03032 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $5K | $0 | $5K | 1.49% |
| CRONIN GERVINO & WARLICK INC3 | 5 DARTMOUTH DRIVE, UNIT 101 AUBURN, NH 03032 | DELTA DENTAL PLAN OF NEW HAMPSHIRE INC | $3K | $0 | $3K | 4.83% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, NH 03302 | DELTA DENTAL PLAN OF NEW HAMPSHIRE INC | $565 | $0 | $565 | 0.79% |
| LEISMAN INSURANCE AGENCY INC3 | PO BOX 9020 WALTHAM, MA 02254 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 6.39% |
| CRONIN GERVINO & WARLICK INC3 | 5 DARTMOUTH DRIVE, UNIT 101 AUBURN, NH 03032 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 3.26% |
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 | 124 | 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) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | MATTHEW THORNTON HEALTH PLAN, INC. | 132 | $1.3M |
| Dental | DELTA DENTAL PLAN OF NEW HAMPSHIRE INC | 194 | $71K |
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 180 | $37K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 180 | $37K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 180 | $37K |
| Prescription drug(2 contracts, 2 carriers) | MATTHEW THORNTON HEALTH PLAN, INC. | 132 | $1.3M |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 180 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 194 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.