| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AP BENEFIT ADVISORS, LLC3 | 10 NORTH PARK DR, STE 200 HUNT VALLEY, MD 21030 | HARTFORD LIFE AND ACCIDENT | $26K | $7K | $34K | 19.25% |
| AP BENEFIT ADVISORS, LLC3 | 10 NORTH PARK DR, STE 200 HUNT VALLEY, MD 21030 | RELISTAR LIFE INSURANCE COMPANY | $20K | $1K | $22K | 64.75% |
| AP BENEFIT ADVISORS, LLC3 | 10 NORTH PARK DRIVE, STE 200 HUNT VALLEY, MD 21030 | VISION SERVICE PLAN | $906 | — | $906 | 4.94% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INDEPENDENCE ADMINISTRATORS EIN 23-2184623 MEDICAL/RX ADMINISTRATOR | Claims processing Service code 12 | — | $141K |
| UNITED CONCORDIA COMPANIES, INC. EIN 25-1687586 DENTAL ADMINISTRATOR | Claims processing Service code 12 | — | $22K |
| AP BENEFIT ADVISORS, LLC EIN 30-0837157 COBRA/BENEFIT 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 | 233 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 14 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 248 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 146 | $18K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 233 | $175K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 233 | $175K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 233 | $175K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 233 | $209K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 233 | — |
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.