| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP BENEFITS | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03103 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $14K | — | $14K | 3.57% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP BENEFITS | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03103 | HPHC INSURANCE COMPANY | $2K | — | $2K | 3.57% |
| GRANITE GROUP BENEFITS, LLC Filed as: GRANITE GROUP BENEFITS | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03103 | ANTHEM LIFE INSURANCE COMPANY (G1400) | $8K | $2K | $10K | 18.70% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP BENEFITS | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03103 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $2K | — | $2K | 3.57% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP BENEFITS | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03103 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $2K | — | $2K | 3.57% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP BENEFITS | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03103 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $974 | — | $974 | 3.57% |
| GRANITE GROUP BENEFITS, LLC Filed as: GRANITE GROUP BENEFITS | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03103 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $0 | — | $0 | 0.00% |
| GRANITE GROUP BENEFITS, LLC Filed as: GRANITE GROUP BENEFITS | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03103 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $161 | — | $161 | 2.81% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP BENEFITS | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03103 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $91 | — | $91 | 3.58% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP BENEFITS | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03103 | RED TREE INSURANCE COMPANY, INC. | $231 | — | $231 | 9.16% |
| COMBINED SERVICES LLC | PO BOX 1320 CONCORD, NH 03302 | RED TREE INSURANCE COMPANY, INC. | $34 | — | $34 | 1.35% |
| GRANITE GROUP BENEFITS, LLC Filed as: GRANITE GROUP BENEFITS | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03103 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | — | $0 | 0.00% |
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 | 100 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 18 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | 50 | $579K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 80 | $6K |
| Vision | RED TREE INSURANCE COMPANY, INC. | 37 | $3K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY (G1400) | 99 | $54K |
| Short-term disability(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY (G1400) | 99 | $60K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY (G1400) | 99 | $54K |
| Prescription drug(5 contracts) | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | 50 | $517K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 11 | $849 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 99 | — |
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.