No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM HEALTH PLANS OF MAINE, INC. EIN 31-1705652 CLAIMS ADMINISTRATOR | Claims processing Service code 12 | — | $387K |
| ANTHEM HEALTH PLANS OR MAINE, INC. | Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $380K |
| INSURANCE TRUST EIN 01-6020129 INSURANCE AGENT | Insurance agents and brokers Service code 22 | — | $210K |
| WOODROW W. CROSS AGENCY EIN 01-0378159 INSURANCE AGENT | Insurance agents and brokers Service code 22 | — | $75K |
| SMARTSHOPPER CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 160 CHUBB AVENUE, SUITE 301 LYNDHURST, NJ 07071 | $44K |
| PRETI FLAHERTY BELIVEAU & PACHIOS L EIN 01-0502585 LEGAL CONSULTANT | Legal Service code 29 | — | $33K |
| RUBENSTEIN ACTUARIAL SERVICES, LLC ACTUARY | Actuarial Service code 11 | 61 SUMMIT AVENUE SHARON, MA 02067 | $32K |
| WIPFLI LLP EIN 39-0758499 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $25K |
| FIDELITY GLOBAL BROKERAGE GROUP INC EIN 04-3257666 INVESTMENT ADVISOR | Investment management Service code 28 | — | $9K |
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 | 1,117 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | ANTHEM HEALTH PLANS OF MAINE, INC. | 1,111 | $500K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,111 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.