| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 335 CLUB HOUSE RD HUNT VALLEY, MD 21031 | GHMSI | $133K | $38K | $171K | 3.90% |
| MERCER HEALTH AND BENEFITS, LLC3 | 1050 CONNECTICUT AVE NW, SUITE 700 WASHINGTON, DC 20036 | GHMSI | $21K | — | $21K | 0.47% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | 335 CLUB HOUSE RD HUNT VALLEY, MD 21031 | GHMSI | — | $115 | $115 | 0.00% |
| USI INSURANCE SERVICES LLC3 | 200 SUMMIT LAKE DRIVE, SUITE 350 VALHALLA, NY 10595 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $42K | $18K | $60K | 7.36% |
| KELLY & ASSOCIATES INSURANCE GROUP3 Filed as: KELLY & ASSOC INS GROUP INC | 1 KELLY WAY SPARKS, MD 21152 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $16K | — | $16K | 1.98% |
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 | 310 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 318 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GHMSI | 655 | $4.4M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 649 | $813K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 649 | $813K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 649 | $813K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 649 | $813K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 649 | $813K |
| Prescription drug | GHMSI | 655 | $4.4M |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 649 | $813K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 655 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.