Filings through .
| Carrier | Coverage | Premium, renewal |
|---|---|---|
Broker: Ima, Inc. HealthRxVisionIndemnityOther | HealthRxVisionIndemnityOther | Pro |
Broker: Ima, Inc. Dental | Dental | Pro |
Broker: Ima, Inc. LifeSTDLTDOther | LifeSTDLTDOther | Pro |
Broker: Ima, Inc. Vision | Vision | Pro |
See premium, retention and renewal dates for 7 contracts with Pro.
Pro shows premium, covered lives, retention, contract numbers and the renewal date for each contract. Free for 7 days, no card. Then $49 a month. Cancel any time.
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 | 1,957 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,969 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,291 | $8.0M |
| Dental | DELTA DENTAL PLAN OF NEW HAMPSHIRE, INC. | 1,487 | $556K |
| Vision(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,291 | $8.1M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,957 | $515K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,957 | $515K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,957 | $515K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,291 | $8.0M |
| Other(4 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,957 | $548K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,957 | — |
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.