Form 5500 · Employee benefit plan · ELLSWORTH, ME
THE WITHAM FAMILY LLC
THE WITHAM FAMILY LLC of ELLSWORTH, ME is a 110-participant hospitality and food service employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is COMBINED SERVICES, LLC. Coverage is written through DELTA DENTAL PLAN OF MAINE. The plan's most recent policy period ended in February.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 83-3254849 · plan 502 · as of Aug 2026
Plan brief
The filing discloses a single insured line — dental — through DELTA DENTAL PLAN OF MAINE, covering 185 people.
Reported premium across the insured contracts is $89,969, with $3,682 in disclosed broker commissions — about 4.1% of premium.
The most recent policy period ended in February, and the plan year ends February 29. Group contracts typically renew on that annual cycle.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| DELTA DENTAL PLAN OF MAINE | Dental | 185 | February | $89,969 | $3,682 |
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