Form 5500 · Employee benefit plan · PORTSMOUTH, NH
ADRENALINE, LLC
ADRENALINE, LLC of PORTSMOUTH, NH files a Form 5500 with the U.S. Department of Labor disclosing its employee benefit plan. Its broker of record is THE HAUSER GROUP. Coverage is written through CIGNA HEALTH AND LIFE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in December.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 43-1834321 · plan 501 · as of Aug 2026
Plan brief
Schedule A lists 8 insured contracts covering health, dental, vision, life and disability; the largest, with CIGNA HEALTH AND LIFE INSURANCE COMPANY, covers 17 people.
Reported premium across the insured contracts is $1,022,488, with $65,472 in disclosed broker commissions — about 6.4% of premium.
The health contract's policy period ended in December, while at least one ancillary line renews in July — the plan is on a split renewal cycle.
THE HAUSER GROUP is the broker of record on 7 of the 8 contracts; the rest name a different broker or none.
Two carriers split the book: CIGNA HEALTH AND LIFE INSURANCE COMPANY and LIFE INSURANCE COMPANY OF NORTH AMERICA.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Health | 17 | December | $801,629 | $45,496 |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY | Dental, Vision | 123 | December | $159,880 | $15,881 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Disability | 166 | December | $29,459 | $2,946 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 88 | December | $3,497 | $525 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 89 | December | $20,357 | $305 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | Life | 166 | December | $2,681 | $268 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 166 | December | $510 | $51 |
| LIFE INSURANCE COMPANY OF NORTH AMERICA | — | 166 | July | $4,475 | $0 |
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