| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EBENEFITS GROUP NORTHEAST, LLC3 Filed as: EBENEFITS GROUP NORTHEAST LLC | 30 MILL STREET UNIONVILLE, CT 06085 | CONNECTICARE, INC. | — | $12K | $12K | 2.12% |
| HILB GROUP OF NEW ENGLAND3 | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | CONNECTICARE, INC. | — | $10K | $10K | 1.74% |
| EBENEFITS GROUP NORTHEAST, LLC3 Filed as: EBENEFITS GROUP NORTHEAST LLC | 639 PROSPECT AVE. WEST HARTFORD, CT 06105 | STANDARD INSURANCE COMPANY | $1K | $434 | $2K | 3.77% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | STANDARD INSURANCE COMPANY | $133 | — | $133 | 0.29% |
| EBENEFITS GROUP NORTHEAST, LLC3 Filed as: EBENEFITS GROUP NORTHEAST LLC | 639 PROSPECT AVE. WEST HARTFORD, CT 06105 | STANDARD INSURANCE COMPANY | $2K | $324 | $2K | 13.36% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | STANDARD INSURANCE COMPANY | $538 | — | $538 | 3.37% |
| EBENEFITS GROUP NORTHEAST, LLC3 Filed as: EBENEFITS GROUP NORTHEAST LLC | 639 PROSPECT AVE. WEST HARTFORD, CT 06105 | STANDARD INSURANCE COMPANY | $919 | $213 | $1K | 10.46% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | STANDARD INSURANCE COMPANY | $230 | — | $230 | 2.12% |
| EBENEFITS GROUP NORTHEAST, LLC3 Filed as: EBENEFITS GROUP NORTHEAST LLC | 639 PROSPECT AVE. WEST HARTFORD, CT 06105 | STANDARD INSURANCE COMPANY | $155 | $130 | $285 | 4.25% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NEW ENGLAND LLC | 2000 CHAPEL VIEW BLVD., STE. 240 CRANSTON, RI 02920 | STANDARD INSURANCE COMPANY | $20 | — | $20 | 0.30% |
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 | 118 | 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) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CONNECTICARE, INC. | 71 | $547K |
| Dental | STANDARD INSURANCE COMPANY | 66 | $46K |
| Vision | STANDARD INSURANCE COMPANY | 64 | $7K |
| Life insurance | STANDARD INSURANCE COMPANY | 118 | $11K |
| Long-term disability | STANDARD INSURANCE COMPANY | 0 | $16K |
| Other | STANDARD INSURANCE COMPANY | 118 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 118 | — |
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."
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.