| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LANDMARK BENEFITS INC3 Filed as: LANDMARK BENEFITS | 183 ROCKINGHAM ROAD, 2 EAST WINDHAM, NH 03087 | MATTHEW THORNTON HEALTH PLAN | $69K | — | $69K | 2.39% |
| LANDMARK BENEFITS INC3 Filed as: LANDMARK BENEFITS | 183 ROCKINGHAM ROAD, 2 EAST WINDHAM, NH 03087 | ANTHEM LIFE INSURANCE COMPANY | $9K | — | $9K | 6.09% |
| LANDMARK BENEFITS INC3 Filed as: LANDMARK BENEFITS | 183 ROCKINGHAM ROAD, 2 EAST WINDHAM, NH 03087 | VISION SERVICE PLAN | $1K | — | $1K | 4.54% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL PLAN OF NH INC EIN 02-0273013 PROVIDER | Claims processing Service code 12 | 1 DELTA DRIVE CONCORD, NH 03302 | $21K |
| BENEFIT STRATEGIES, LLC EIN 26-0003294 PROVIDER | Contract Administrator Service code 13 | PO BOX 1300 MANCHESTER, NH 03105 | $13K |
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 | 310 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 310 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MATTHEW THORNTON HEALTH PLAN | 354 | $2.9M |
| Vision | VISION SERVICE PLAN | 184 | $28K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 246 | $156K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 246 | $156K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 246 | $156K |
| Other | ANTHEM EMPLOYEE ASSISTANCE PROGRAM | 310 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 354 | — |
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.