| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $3K | — | $3K | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $3K | — | $3K | 3.56% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $3K | — | $3K | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $3K | — | $3K | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $3K | — | $3K | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 10.29% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $2K | — | $2K | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $2K | — | $2K | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $1K | — | $1K | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $1K | — | $1K | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $1K | — | $1K | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $919 | — | $919 | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $861 | — | $861 | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $832 | — | $832 | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $812 | — | $812 | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $639 | — | $639 | 3.52% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $628 | — | $628 | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $455 | — | $455 | 3.42% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $359 | — | $359 | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $273 | — | $273 | 3.52% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $213 | — | $213 | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $212 | — | $212 | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $212 | — | $212 | 3.53% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $117 | — | $117 | 3.54% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $77 | — | $77 | 3.07% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $67 | — | $67 | 3.52% |
| UIG INC DBA UNITED INSURANCE3 | — | HARVARD PILGRIM HEALTH CARE | $466 | — | $466 | 100.00% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | $1 | — | $1 | 6.25% |
| UIG INC DBA UNITED INSURANCE3 | — | HPHC INSURANCE COMPANY | -$177 | — | -$177 | — |
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 | 136 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(32 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE | 16 | $820K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 136 | $70K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 136 | $70K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 136 | $70K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 136 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 136 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.