| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CRONIN GERVINO & WARLICK INC3 Filed as: CRONIN GERVINO AND WARLICK INC | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | HARVARD PILGRIM HEALTH CARE OF NE INC - MA | $46K | $0 | $46K | 3.97% |
| CRONIN GERVINO & WARLICK INC3 Filed as: CRONIN GERVINO AND WARLICK INC | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | $6K | $0 | $6K | 4.52% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, NH 03302 | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | $121 | $0 | $121 | 0.09% |
| CGI BENEFITS GROUP3 | 171 LONDONDERRY TURNPIKE HOOKSETT, NH 03106 | HARTFORD LIFE AND ACCIDENT | $11K | $268 | $11K | 10.88% |
| RW ASSOCIATES INC3 | 3 WEBB PLACE DOVER, NH 03820 | HARTFORD LIFE AND ACCIDENT | $57 | $0 | $57 | 0.06% |
| SHIELDS BROKERAGE3 Filed as: SHIELDS BROKERAGE INC | 21 HAMPTON ROAD, SUITE 106 EXETER, NH 03833 | HARTFORD LIFE AND ACCIDENT | $0 | $29 | $29 | 0.03% |
| CRONIN GERVINO & WARLICK INC3 Filed as: CRONIN GERVINO AND WARLICK INC | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | RED TREE INSURANCE COMPANY, INC. | $1K | $0 | $1K | 9.99% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, NH 03302 | RED TREE INSURANCE COMPANY, INC. | $164 | $0 | $164 | 1.50% |
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 | 207 | 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) | 207 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HARVARD PILGRIM HEALTH CARE OF NE INC - MA | 163 | $1.2M |
| Dental | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | 221 | $142K |
| Vision | RED TREE INSURANCE COMPANY, INC. | 146 | $11K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 207 | $103K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 207 | $103K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 207 | $103K |
| Prescription drug | HARVARD PILGRIM HEALTH CARE OF NE INC - MA | 163 | $1.2M |
| Other | HARTFORD LIFE AND ACCIDENT | 207 | $103K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 221 | — |
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.