| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03013 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $15K | — | $15K | 3.98% |
| GRANITE GROUP BENEFITS, LLC Filed as: GRANITE GROUP | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03013 | ANTHEM LIFE INSURANCE COMPANY (G1400) | $9K | — | $9K | 11.85% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03013 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $2K | — | $2K | 3.98% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03013 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $2K | — | $2K | 3.98% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03013 | HPHC INSURANCE COMPANY | $2K | — | $2K | 3.98% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03013 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $1K | — | $1K | 3.98% |
| GRANITE GROUP BENEFITS, LLC Filed as: GRANITE GROUP | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03013 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $137 | — | $137 | 2.15% |
| GRANITE GROUP BENEFITS, LLC Filed as: GRANITE GROUP | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03013 | GUARDIAN LIFE INSURANCE COMPANY | $83 | — | $83 | 1.65% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03013 | RED TREE INSURANCE COMPANY INC | $289 | — | $289 | 9.73% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICE DBA CSONE BENEFIT | PO BOX 1320 CONCORD, NH 03302 | RED TREE INSURANCE COMPANY INC | $43 | — | $43 | 1.45% |
| GRANITE GROUP BENEFITS, LLC Filed as: GRANITE GROUP | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03013 | UNUM LIFE INSURANCE | $193 | — | $193 | 8.01% |
| UNITED BENEFIT ADVISORS LLC Filed as: UNITED BENEFIT ADVISORS | STE 250 280 E 96TH STREET INDIANAPOLIS, IN 46240 | UNUM LIFE INSURANCE | $0 | — | $0 | 0.00% |
| GRANITE GROUP BENEFITS, LLC3 Filed as: GRANITE GROUP | 1001 ELM STREET SUITE 301 MANCHESTER, NH 03013 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $0 | — | $0 | — |
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 | 110 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 28 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts) | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | 56 | $507K |
| Dental | GUARDIAN LIFE INSURANCE COMPANY | 73 | $5K |
| Vision | RED TREE INSURANCE COMPANY INC | 29 | $3K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY (G1400) | 0 | $77K |
| Short-term disability(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY (G1400) | 19 | $83K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY (G1400) | 0 | $77K |
| Prescription drug(6 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | 56 | $546K |
| Other | UNUM LIFE INSURANCE | 11 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 73 | — |
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.