| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KYES AGENCY, INC.3 | 171 MAIN STREET FARMINGTON, ME 04938 | HARVARD PILGRIM HEALTH CARE | $9K | — | $9K | — |
| KYES AGENCY, INC.3 | 171 MAIN STREET FARMINGTON, ME 04938 | HPHC INSURANCE COMPANY | $20K | — | $20K | — |
| KYES AGENCY, INC.3 | 171 MAIN STREET FARMINGTON, ME 04938 | HARVARD PILGRIM HEALTH CARE COBRA | $0 | — | $0 | — |
| KYES AGENCY, INC.3 | 171 MAIN STREET FARMINGTON, ME 04938 | ANTHEM LIFE INSURANCE COMPANY | $3K | — | $3K | — |
| KYES AGENCY, INC.4 | 171 MAIN STREET FARMINGTON, ME 04938 | HPHC INSURANCE COMPANY COBRA | — | — | $0 | — |
| KYES AGENCY, INC.3 | 171 MAIN STREET FARMINGTON, ME 04938 | HARVARD PILGRIM HEALTH CARE | — | — | $0 | — |
| KYES AGENCY, INC.3 | 171 MAIN STREET FARMINGTON, ME 04938 | AMERITAS LIFE INSURANCE CORP. | $2K | — | $2K | — |
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 | 119 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | HARVARD PILGRIM HEALTH CARE | 75 | $0 |
| Dental | AMERITAS LIFE INSURANCE CORP. | 59 | $0 |
| Vision | AMERITAS LIFE INSURANCE CORP. | 59 | $0 |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 136 | $0 |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 136 | $0 |
| 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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.