| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM PENNINGTON3 Filed as: WILLIAM B. PENNINGTON | 103 BONNIE HILL ROAD BALTIMORE, MD 21204 | FIRST UNUM LIFE INSURANCE COMPANY | $19K | — | $19K | 10.73% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CORESOURCE, INC. EIN 35-1846036 NONE | Other services; Plan Administrator; Claims processing Service code 12 | — | $151K |
| PENNINGTON & ASSOCIATES EIN 22-1407175 NONE | Consulting (general); Insurance agents and brokers Service code 16 | 103 BONNIE HILL RD BALTIMORE, MD 21204 | $84K |
| CIGNA PPO EIN 59-1031071 NONE | Other services; Claims processing Service code 12 | — | $42K |
| MULTIPLAN, INC. EIN 13-3068979 NONE | Plan Administrator; Claims processing; Other services Service code 12 | — | $17K |
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 | 239 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 97 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 336 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | FIRST UNUM LIFE INSURANCE COMPANY | 228 | $173K |
| Long-term disability | FIRST UNUM LIFE INSURANCE COMPANY | 228 | $173K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 336 | $156K |
| Other | FIRST UNUM LIFE INSURANCE COMPANY | 228 | $173K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 336 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.