| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 80 SOUTH 8TH STREET, SUITE 700 MINNEAPOLIS, MN 55402 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $96K | $8K | $104K | 1.33% |
| USI INSURANCE SERVICES LLC3 | PO BOX 66119 VIRGINIA BEACH, VA 23466 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $9K | $0 | $9K | 0.11% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS. AGY OF VA INC | 11220 ASSET LOOP, SUITE 104 MANASSAS, VA 20109 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $0 | $7K | $7K | 0.10% |
| HAYS COMPANIES, INC.3 Filed as: HAYS GROUP INC | 1350 BAYSHORE HIGHWAY SUITE 218 BURLINGAME, CA 94010 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | -$16 | $0 | -$16 | -0.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS GROUP INC | 1350 BAYSHORE HIGHWAY SUITE 218 BURLINGAME, CA 94010 | MATTHEW THORNTON HEALTH PLAN, INC. | $96K | $8K | $104K | 6.57% |
| USI INSURANCE SERVICES LLC3 | PO BOX 66119 VIRGINIA BEACH, VA 23466 | MATTHEW THORNTON HEALTH PLAN, INC. | $9K | $0 | $9K | 0.54% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS. AGY OF VA INC | 11220 ASSET LOOP, SUITE 104 MANASSAS, VA 20109 | MATTHEW THORNTON HEALTH PLAN, INC. | $0 | $7K | $7K | 0.47% |
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 | 496 | 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) | 496 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 1,102 | $7.8M |
| Dental | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 1,102 | $7.8M |
| Vision | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 1,102 | $7.8M |
| Prescription drug | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 1,102 | $7.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,102 | — |
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.