| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | ANTHEM HEALTH PLANS PF MAINE, INC. | $35K | $237 | $35K | 3.48% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | ANTHEM LIFE INSURANCE COMPANY (G1400) | $11K | $3K | $14K | 12.67% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | DELTA DENTAL PLAN OF MAINE | $4K | — | $4K | 4.85% |
| COMBINED SERVICES LLC3 Filed as: COMBINED SERVICES LLC DBA CSONE BEN | PO BOX 1320 CONCORD, NH 033021320 | DELTA DENTAL PLAN OF MAINE | $78 | — | $78 | 0.11% |
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 | 178 | 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) | 178 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS PF MAINE, INC. | 228 | $1.0M |
| Dental | DELTA DENTAL PLAN OF MAINE | 193 | $73K |
| Vision | ANTHEM HEALTH PLANS PF MAINE, INC. | 228 | $1.0M |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY (G1400) | 178 | $107K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY (G1400) | 178 | $107K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY (G1400) | 178 | $107K |
| Other | ANTHEM LIFE INSURANCE COMPANY (G1400) | 178 | $107K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 228 | — |
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.