| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $47K | — | $47K | 4.42% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $39K | — | $39K | 3.92% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $24K | — | $24K | 3.85% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $16K | — | $16K | 3.86% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $11K | — | $11K | 3.59% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $13K | — | $13K | 4.39% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $11K | — | $11K | 3.90% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $10K | — | $10K | 3.60% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $10K | — | $10K | 4.13% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $8K | — | $8K | 3.80% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $8K | — | $8K | 4.11% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $7K | — | $7K | 4.12% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HPHC INSURANCE COMPANY | $6K | — | $6K | 4.28% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $3K | — | $3K | 3.89% |
| NH AUTO DEALERS SERVICES INC.3 | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $1K | — | $1K | 4.13% |
| NH AUTO DEALERS SERVICES INC. | 507 SOUTH ST BOW, NH 03304 | HARVARD PILGRIM HEALTH CARE OF NE INC-MA | $429 | — | $429 | 3.59% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NH AUTOMOBILE DEALERS SERVICES EIN 02-0328805 COMMON MANAGEMENT | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $420K |
| SHAHEEN AND GORDON EIN 02-0485344 LAW FIRM | Legal Service code 29 | — | $6K |
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 | 2,096 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,096 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.