| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VARNEY & COMPANY BENEFITS ADVISORS3 | 32 OAK STREET BANGOR, ME 04401 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $42K | — | $42K | 20.14% |
| CROSS BENEFIT SOLUTIONS3 | 116 COMMUNITY DRIVE AUGUSTA, ME 04332 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $8K | — | $8K | 3.71% |
| VARNEY & COMPANY BENEFITS ADVISORS3 Filed as: VARNEY AGENCY INC | 32 OAK STREET BANGOR, ME 04401 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | -$48 | — | -$48 | -0.02% |
| VARNEY & COMPANY BENEFITS ADVISORS3 | 32 OAK STREET BANGOR, ME 04401 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 10.34% |
| VARNEY & COMPANY BENEFITS ADVISORS3 Filed as: VARNEY AGENCY INC | 32 OAK STREET BANGOR, ME 04401 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $883 | — | $883 | 2.06% |
| VARNEY & COMPANY BENEFITS ADVISORS3 | 32 OAK STREET BANGOR, ME 04401 | RED TREE INSURANCE COMPANY, INC. | $2K | — | $2K | 9.93% |
| COMBINED SERVICES LLC3 | P.O. BOX CONCORD, NH 033021320 | RED TREE INSURANCE COMPANY, INC. | $237 | — | $237 | 1.49% |
| CROSS BENEFIT SOLUTIONS3 | 116 COMMUNITY DRIVE AUGUSTA, ME 04332 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $432 | — | $432 | 3.26% |
| SMITH, THOMAS, CHRISTOPHER3 Filed as: SMITH, THOMAS, CHRISTOPER | 2928 FOSTER CREIGHTON DR NASHVILLE, TN 37204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $432 | — | $432 | 3.26% |
| VARNEY & COMPANY BENEFITS ADVISORS3 | 383 US ROUTE 1, SUITE 1E SCARBOROUGH, ME 04074 | GERBER LIFE INSURANCE COMPANY | $181 | — | $181 | 15.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE CO EIN 59-7031071 | Contract Administrator Service code 13 | — | $100K |
| DELTA DENTAL PLAN OF MAINE EIN 01-0286541 DENTAL CLAIMS PROCESSING | Claims processing Service code 12 | — | $13K |
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 | 170 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 171 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 141 | $210K |
| Vision | RED TREE INSURANCE COMPANY, INC. | 176 | $16K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 174 | $43K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 174 | $43K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 174 | $43K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 174 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 176 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.