| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CRAWFORD ADVISORS, LLC3 | 200 INTERNATIONAL CIRCLE, STE 4500 HUNT VALLEY, MD 21030 | AETNA LIFE INSURANCE CO | $25K | $7K | $32K | 5.48% |
| CRAWFORD ADVISORS, LLC3 | 200 INTERNATIONAL CIRCLE, STE 4500 HUNT VALLEY, MD 21030 | HYATT LEGAL PLANS | $4K | — | $4K | 10.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CORESOURCE, INC EIN 35-1846036 MEDICAL ADMINISTRATION | Other services; Claims processing; Plan Administrator Service code 12 | — | $472K |
| HEALTH FITNESS EIN 41-1580506 MEDICAL ADMINISTRATION | Claims processing Service code 12 | — | $155K |
| AETNA PPO EIN 06-6033492 MEDICAL ADMINISTRATION | Claims processing; Other services Service code 12 | — | $132K |
| OPTUMRX EIN 11-2581812 RX ADMINISTRATION | Claims processing Service code 12 | — | $80K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 DENTAL ADMINISTRATION | Contract Administrator; Claims processing Service code 12 | — | $51K |
| MULTIPLAN EIN 43-6004435 MEDICAL ADMINISTRATION | Plan Administrator; Claims processing; Other services Service code 12 | — | $37K |
| CIGNA BEHAVIORAL HEALTH INC EIN 41-1648670 EAP ADMINISTRATION | Claims processing; Direct payment from the plan; Participant communication; Contract Administrator Service code 12 | — | $34K |
| HEALTHCARE BLUEBOOK EIN 46-4399706 MEDICAL ADMINISTRATION | Claims processing; Other services Service code 12 | — | $30K |
| TELEDOC EIN 04-3705970 MEDICAL ADMINISTRATION | Plan Administrator; Claims processing; Other services Service code 12 | — | $19K |
| ACS - A XEROX COMPANY EIN 36-4129784 MEDICAL ADMINISTRATION | Claims processing; Other services Service code 12 | — | $10K |
| BANCORPSOUTH INS SERVICES INC EIN 72-1381997 MEDICAL ADMINISTRATION | Claims processing; Other services Service code 12 | — | $6K |
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 | 1,309 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 15 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,331 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 977 | $122K |
| Life insurance | AETNA LIFE INSURANCE CO | 1,309 | $579K |
| Long-term disability | AETNA LIFE INSURANCE CO | 1,309 | $579K |
| Other(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO | 1,309 | $615K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,309 | — |
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."
No prospect flags tripped on this filing.