| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | HARTFORD LIFE AND ACCIDENT | — | $13K | $13K | 6.48% |
| USI INSURANCE SERVICES LLC3 | 1787 SENTRY PARKWAY W VEVA 16, STE 300 BLUE BELL, PA 19422 | HARTFORD LIFE AND ACCIDENT | $10K | — | $10K | 5.00% |
| RIGGS COUNSELMAN MICHAELS & DOWNES3 Filed as: RIGGS,COUNSELMAN, MICHAELS & DOWNES | 555 FAIRMOUNT AVE BALTIMORE, MD 21286 | ACE AMERICAN INSURANCE COMPANY | $7K | — | $7K | 15.00% |
| RIGGS COUNSELMAN MICHAELS & DOWNES3 Filed as: RIGGS,COUNSELMAN, MICHAELS & DOWNES | 555 FAIRMONT AVENUE BALTIMORE, MD 21286 | ACE AMERICAN INSURANCE COMPANY | $286 | — | $286 | 15.02% |
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 | 687 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 21 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 708 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | HIGHMARK BLUE SHIELD | 638 | $8.7M |
| Vision | HIGHMARK BLUE SHIELD | 638 | $8.6M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 687 | $196K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 687 | $196K |
| Prescription drug | HIGHMARK BLUE SHIELD | 638 | $8.6M |
| Other(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 687 | $242K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 687 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.