| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS INSURANCE BROKERAGE GROUP | 80 SOUTH 8TH STREET, SUITE 700 MINNEAPOLIS, MN 55402 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $17K | $0 | $17K | 1.39% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MA | 980 WASHINGTON STREET DEDHAM, MA 02026 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $0 | $8K | $8K | 0.65% |
| CGI EMPLOYEE BENEFITS GROUP3 Filed as: CGI BUSINESS SOLUTIONS | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $6K | $0 | $6K | 0.47% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SVCS | 300 NORTH BEACH STREET DAYTONA BEACH, FL 32114 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $2K | $0 | $2K | 0.16% |
| HAYS COMPANIES, INC.3 Filed as: HAYS INSURANCE BROKERAGE GROUP | 80 SOUTH 8TH STREET, SUITE 700 MINNEAPOLIS, MN 55402 | HPHC INSURANCE COMPANY | $7K | $0 | $7K | 1.40% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MA | 980 WASHINGTON STREET DEDHAM, MA 02026 | HPHC INSURANCE COMPANY | $0 | $3K | $3K | 0.65% |
| CGI EMPLOYEE BENEFITS GROUP3 Filed as: CGI BUSINESS SOLUTIONS | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | HPHC INSURANCE COMPANY | $2K | $0 | $2K | 0.47% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SVCS | 300 NORTH BEACH STREET DAYTONA BEACH, FL 32114 | HPHC INSURANCE COMPANY | $813 | $0 | $813 | 0.16% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 SOUTH 8TH STREET, SUITE 700 MINNEAPOLIS, MN 55402 | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | $3K | $0 | $3K | 2.21% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SVCS | 309 DANIEL WEBSTER HIGHWAY MERRIMACK, NH 03054 | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | $2K | $0 | $2K | 2.07% |
| CRONIN GERVINO & WARLICK INC3 | 5 DARTMOUTH DRIVE AUBURN, MN 03032 | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | $909 | — | $909 | 0.78% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, MN 03302 | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | $88 | — | $88 | 0.08% |
| HAYS COMPANIES, INC.3 Filed as: HAYS INSURANCE BROKERAGE GROUP | 80 SOUTH 8TH STREET, SUITE 700 MINNEAPOLIS, MN 55402 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $2K | $0 | $2K | 1.40% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MA | 980 WASHINGTON STREET DEDHAM, MA 02026 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $0 | $723 | $723 | 0.65% |
| CGI EMPLOYEE BENEFITS GROUP3 Filed as: CGI BUSINESS SOLUTIONS | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $526 | $0 | $526 | 0.47% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SVCS | 300 NORTH BEACH STREET DAYTONA BEACH, FL 32114 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $181 | $0 | $181 | 0.16% |
| HAYS COMPANIES, INC.3 Filed as: HAYS INSURANCE BROKERAGE GROUP | 80 SOUTH 8TH STREET, SUITE 700 MINNEAPOLIS, MN 55402 | HPHC INSURANCE COMPANY | $784 | $0 | $784 | 1.40% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF MA | 980 WASHINGTON STREET DEDHAM, MA 02026 | HPHC INSURANCE COMPANY | $0 | $366 | $366 | 0.65% |
| CGI EMPLOYEE BENEFITS GROUP3 Filed as: CGI BUSINESS SOLUTIONS | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | HPHC INSURANCE COMPANY | $266 | $0 | $266 | 0.47% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SVCS | 300 NORTH BEACH STREET DAYTONA BEACH, FL 32114 | HPHC INSURANCE COMPANY | $91 | $0 | $91 | 0.16% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS. SERVICES | 901 MARQUETTE AVE SUITE 1800 MINNEAPOLIS, MN 55402 | HARTFORD LIFE AND ACCIDENT | $4K | $0 | $4K | 8.31% |
| CGI EMPLOYEE BENEFITS GROUP3 Filed as: CGI INSURANCE, INC | 5 DARTMOUTH DRIVE AUBURN, NH 03032 | HARTFORD LIFE AND ACCIDENT | $1K | $0 | $1K | 2.64% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS. SERVICES | 100 RIALTO PLACE, SUITE 900 MELBOURNE, FL 32901 | HARTFORD LIFE AND ACCIDENT | $0 | $963 | $963 | 2.11% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 SOUTH 8TH STREET, SUITE 700 MINNEAPOLIS, MN 55402 | RED TREE INSURANCE COMPANY, INC. | $416 | $0 | $416 | 4.29% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SVCS | 309 DANIEL WEBSTER HIGHWAY MERRIMACK, NH 03054 | RED TREE INSURANCE COMPANY, INC. | $403 | $0 | $403 | 4.15% |
| CRONIN GERVINO & WARLICK INC3 | 5 DARTMOUTH DRIVE AUBURN, MN 03032 | RED TREE INSURANCE COMPANY, INC. | $156 | $0 | $156 | 1.61% |
| COMBINED SERVICES LLC3 | PO BOX 1320 CONCORD, MN 03302 | RED TREE INSURANCE COMPANY, INC. | $146 | $0 | $146 | 1.50% |
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 | 125 | 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) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | 126 | $1.9M |
| Dental | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | 209 | $116K |
| Vision | RED TREE INSURANCE COMPANY, INC. | 160 | $10K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 125 | $46K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 125 | $46K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 125 | $46K |
| Prescription drug(4 contracts, 2 carriers) | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | 126 | $1.9M |
| Other | HARTFORD LIFE AND ACCIDENT | 125 | $46K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 209 | — |
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.