| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC | 80 SO. 8TH., STE. 700 MINNEAPOLIS, MN 55402 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $96K | $33K | $129K | 3.93% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS AGENCY OF VA, INC | 11220 ASSETT LOOP STE 304 MANASSAS, VA 20109 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | — | $1K | $1K | 0.03% |
| HAYS COMPANIES, INC.3 | 80 SOUTH ST. STE 700 MINNEAPOLIS, MN 55402 | DELTA DENTAL OF NEW HAMPSHIRE, INC. | $7K | — | $7K | 3.08% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, NH 03302 | DELTA DENTAL OF NEW HAMPSHIRE, INC. | $133 | — | $133 | 0.06% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC | 80 SO. 8TH ST., STE 700 MINNEAPOLIS, MN 55402 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $26K | — | $26K | 13.77% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS AGENCY OF VA, INC | 11220 ASSETT LOOP SUITW 104 MANASSAS, VA 20109 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | — | $4K | $4K | 1.97% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC. | 80 SO. 8TH ST., STE. 700 MINNEAPOLIS, MN 55402 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE | — | — | $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 | 441 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 445 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 472 | $3.3M |
| Dental | DELTA DENTAL OF NEW HAMPSHIRE, INC. | 495 | $229K |
| Vision | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 472 | $3.3M |
| Life insurance | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 458 | $189K |
| Short-term disability | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 458 | $189K |
| Long-term disability | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 458 | $189K |
| Prescription drug | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 472 | $3.3M |
| Other(2 contracts) | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 458 | $193K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 495 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.