| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | THREE EMBARCADERO CENTER, SUITE 600 SAN FRANCISCO, CA 94111 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $146K | $6K | $152K | 2.15% |
| JOSEPH MORAN3 | 341 COMMONWEALTH AVENUE CHESTNUT HILL, MA 02467 | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | $18K | $0 | $18K | 0.25% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | PO BOX 741738 ATLANTA, GA 30374 | KAISER FOUNDATION HEALTH PLAN, INC. | $57K | $0 | $57K | 3.31% |
| IMA, INC.3 | PO BOX 6030 PASADENA, CA 91102 | KAISER FOUNDATION HEALTH PLAN, INC. | $23K | $0 | $23K | 1.35% |
| LOCKTON COMPANIES, LLC3 | PO BOX 741738 ATLANTA, GA 30374 | KAISER FOUNDATION HEALTH PLAN, INC. | $7K | $0 | $7K | 0.41% |
| LOCKTON COMPANIES, LLC3 | 65 MEMORIAL ROAD, SUITE C100 WEST HARTFORD, CT 06107 | ANTHEM LIFE INSURANCE COMPANY | $50K | $0 | $50K | 7.38% |
| IMA, INC.3 | 1705 17TH STREET, SUITE 100 DENVER, CO 80202 | ANTHEM LIFE INSURANCE COMPANY | $20K | $0 | $20K | 3.05% |
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 | 810 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 88 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 898 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 185 | $1.7M |
| Dental | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 1,022 | $7.1M |
| Vision | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 1,022 | $7.1M |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 810 | $672K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 810 | $672K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 810 | $672K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN, INC. | 185 | $1.7M |
| Other(2 contracts, 2 carriers) | ANTHEM HEALTH PLANS OF NEW HAMPSHIRE, INC. | 1,022 | $7.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,022 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.