| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STRATEBEN INC | 4720 MONTGOMERY LANE, SUITE 500 BETHESDA, MD 20814 | SUN LIFE ASSURANCE CO | $63K | — | $63K | 11.31% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CAPSTONE GROUP EIN 23-2557346 ADVISOR | Claims processing; Direct payment from the plan Service code 12 | 8 SPRINGHOUSE INNOV PK, SUITE 202 LOWER GWYNEDD, PA 19002 | $172K |
| MARPAI HEALTH EIN 38-3919227 ADMINISTRATOR | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | 615 CHANNELSIDE DRIVE, SUITE 207 TAMPA, FL 33602 | $94K |
| AETNA EIN 06-6033492 PPO NETWORK | Direct payment from the plan; Claims processing Service code 12 | 131 SOUTH DEARBORN, 6TH FL CHICAGO, IL 60603 | $63K |
| STRATEHEALTH EIN 20-1643428 PERSONAL HEALTH NURSE SVC | Claims processing; Direct payment from the plan Service code 12 | 3 BETHESDA METRO CENTER, SUITE 700 BETHESDA, MD 20814 | $8K |
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 | 438 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 438 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SUN LIFE ASSURANCE CO | 413 | $555K |
| Prescription drug | SUN LIFE ASSURANCE CO | 413 | $555K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE CO | 413 | $555K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 413 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.