| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP BENEFITS | 1001 ELM ST STE 301 MANCHESTER, NH 03101 | GUARDIAN | $8K | $0 | $8K | 8.28% |
| HPHC INSURANCE AGENCY, INC.3 Filed as: HPHC INSURANCE GROUP | 93 WORCESTER ST WELLESLEY HILLS, MA 02481 | GUARDIAN | $6K | $0 | $6K | 6.01% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICES LIMITED | 15 NORTH MAIN ST STE 300 CONCORD, NH 03301 | GUARDIAN | $2K | $0 | $2K | 1.99% |
| GEORGE SLYMAN3 | 188 ASHBURNHAM RD NEW IPSWICH, NH 03101 | GUARDIAN | -$28 | $0 | -$28 | -0.03% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP BENEFITS | 1001 ELM ST STE 301 MANCHESTER, NH 03101 | RED TREE INSURANCE COMPANY | $954 | $0 | $954 | 10.10% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICES LLC DBA CSONE BE | P.O. BOX 1320 CONCORD, NH 03302 | RED TREE INSURANCE COMPANY | $143 | $0 | $143 | 1.51% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SUN LIFE ASSURANCE COMPANY OF CANAD EIN 38-1082080 ADMIN | Claims processing Service code 12 | — | $73K |
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 | 116 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | RED TREE INSURANCE COMPANY | 195 | $9K |
| Life insurance | GUARDIAN | 116 | $96K |
| Short-term disability | GUARDIAN | 116 | $96K |
| Long-term disability | GUARDIAN | 116 | $96K |
| Other | GUARDIAN | 116 | $96K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.