See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 4 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
See commissions and fees for 1 broker row. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL PLAN OF VERMONT, INC. EIN 03-0219391 CLAIMS PROCESSING | Claims processing Service code 12 | 12 BACON STREET SUITE B BURLINGTON, VT 05401 | $19K |
| NORTHERN BENEFIT LTD. EIN 03-0363039 BROKER | Insurance agents and brokers Service code 22 | 1233 SHELBURNE ROAD SUITE C2A SOUTH BURLINGTON, VT 05403 | $3K |
| COMBINED SERVICES EIN 02-0479434 BROKER | Insurance agents and brokers Service code 22 | 2 DELTA DRIVE SUITE 301 CONCORD, NH 03302 | $2K |
| ESSEX AGENCY LIFE CORP EIN 03-0262916 BROKER | Insurance agents and brokers Service code 22 | 2 RAILROAD STREET ESSEX JUNCTION, VT 05452 | $1K |
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 | 347 | 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) | 347 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF VERMONT | 323 | $1.6M |
| Vision | BLUE CROSS AND BLUE SHIELD OF VERMONT | 323 | $1.6M |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 347 | $36K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 347 | $56K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 347 | $33K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF VERMONT | 323 | $1.6M |
| Other(2 contracts, 2 carriers) | BLUE CROSS AND BLUE SHIELD OF VERMONT | 347 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 347 | — |
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 top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
Schedule A changed between filings. The plan moved between insured and self-funded, or contracts were added or removed. The transition window is open.