| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AP BENEFITS ADVISORS LLC3 Filed as: AP BENEFITS ADVISORS, LLC | 200 INTERNATIONAL CIRCLE, STE 4500 HUNT VALLEY, MD 21030 | STANDARD INSURANCE COMPANY | $32K | — | $32K | 19.68% |
| AP BENEFIT ADVISORS, LLC3 | 200 INTERNATIONAL CIRCLE, STE 4500 HUNT VALLEY, MD 21030 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 16.48% |
| JASON D ELLIS3 | 203 MARKET STREE STE 210 HAVRE DE GRACE, MD 21078 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 10.08% |
| MID ATLANTIC BENEFITS GROUP LLC3 | 203 MARKET STREET STE 210 HAVRE DE GRACE, MD 21078 | CONTINENTAL AMERICAN INSURANCE COMPANY | $632 | — | $632 | 4.18% |
| MICHAEL C WALKER3 | 203 MARKET STREET STE 210 HAVRE DE GRACE, MD 21078 | CONTINENTAL AMERICAN INSURANCE COMPANY | $262 | — | $262 | 1.73% |
| WILLIAM J BOSTIC3 | 1892 HOPEWELL ROAD PORT DEPOSIT, MD 21904 | CONTINENTAL AMERICAN INSURANCE COMPANY | $77 | — | $77 | 0.51% |
| LEILA RAPPAPORT3 | 501 SILVERSIDE RD STE 42 WILMINGTON, DE 19809 | CONTINENTAL AMERICAN INSURANCE COMPANY | $33 | — | $33 | 0.22% |
| MICHAEL E RISKA3 | 203 MARKET STREET STE 210 HAVRE DE GRACE, MD 21078 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.03% |
| AP BENEFIT ADVISORS, LLC3 | 200 INTERNATIONAL CIRCLE, STE 4500 HUNT VALLEY, MD 21030 | VISION SERVICE PLAN | $534 | — | $534 | 4.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INDEPENDENCE ADMINISTRATORS EIN 23-2184623 MEDICAL/RX ADMINISTRATOR | Claims processing Service code 12 | — | $117K |
| UNITED CONCORDIA COMPANIES, INC. EIN 25-1687586 DENTAL ADMINISTRATOR | Claims processing Service code 12 | — | $17K |
| AP BENEFIT ADVISORS, LLC EIN 30-0837157 COBRA/BENFIT ADMIN | Contract Administrator Service code 13 | — | $12K |
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 | 190 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 15 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 205 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 87 | $11K |
| Life insurance | STANDARD INSURANCE COMPANY | 190 | $164K |
| Short-term disability | STANDARD INSURANCE COMPANY | 190 | $164K |
| Long-term disability | STANDARD INSURANCE COMPANY | 190 | $164K |
| Other(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 190 | $179K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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.