| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: NEW ENGLAND EMPLOYEE BENEFITS CO IN | 15 CHENELL DRIVE CONCORD, NH 03301 | HARVARD PILGRIM HEALTH CARE OF NE INC MA | $6K | — | $6K | 0.96% |
| CGI EMPLOYEE BENEFITS GROUP3 | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | HARVARD PILGRIM HEALTH CARE OF NE INC MA | $3K | — | $3K | 0.49% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: NEW ENGLAND EMPLOYEE BENEFITS CO IN | 15 CHENELL DRIVE CONCORD, NH 03301 | HARVARD PILGRIM HEALTH CARE OF NE INC MA | $5K | — | $5K | 0.99% |
| CGI EMPLOYEE BENEFITS GROUP3 | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | HARVARD PILGRIM HEALTH CARE OF NE INC MA | $3K | — | $3K | 0.50% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: NEW ENGLAND EMPLOYEE BENEFITS CO IN | 15 CHENELL DRIVE CONCORD, NH 03301 | HARVARD PILGRIM HEALTH CARE OF NE INC MA | $927 | — | $927 | 0.97% |
| CGI EMPLOYEE BENEFITS GROUP3 | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | HARVARD PILGRIM HEALTH CARE OF NE INC MA | $471 | — | $471 | 0.49% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: NEW ENGLAND EMPLOYEE BENEFITS CO IN | 15 CHENELL DRIVE CONCORD, NH 03301 | HARVARD PILGRIM HEALTH CARE OF NE INC MA | $40 | — | $40 | 0.97% |
| CGI EMPLOYEE BENEFITS GROUP3 | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | HARVARD PILGRIM HEALTH CARE OF NE INC MA | $20 | — | $20 | 0.48% |
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 | 114 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts) | HARVARD PILGRIM HEALTH CARE OF NE INC MA | 81 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 81 | — |
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."
No prospect flags tripped on this filing.