| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JASON S BELL3 | 307 INTERNATIONAL CIR STE 310 HUNT VALLEY, MD 21030 | NORTHWESTERN MUTUAL | $2K | $574 | $3K | 5.09% |
| R TODD GRANDY3 | 307 INTERNATIONAL CIR STE 310 HUNT VALLEY, MD 21030 | NORTHWESTERN MUTUAL | $2K | $574 | $3K | 5.09% |
| DAVID WAYNE ZIEGLER3 | 307 INTERNATIONAL CIR STE 310 HUNT VALLEY, MD 21030 | NORTHWESTERN MUTUAL | $455 | $163 | $618 | 1.10% |
| SCOTT IODICE ASSC LLC3 | 111 S CALVERT ST STE 2500 BALTIMORE, MD 21202 | NORTHWESTERN MUTUAL | $455 | $55 | $510 | 0.91% |
| R TODD GRANDY3 | 307 INTERNATIONAL CIR STE 310 HUNT VALLEY, MD 21030 | NORTHWESTERN MUTUAL | $557 | $237 | $794 | 7.83% |
| JASON S BELL3 | 307 INTERNATIONAL CIR STE 310 HUNT VALLEY, MD 21030 | NORTHWESTERN MUTUAL | $557 | $237 | $794 | 7.83% |
| DAVID WAYNE ZIEGLER3 | 307 INTERNATIONAL CIR STE 310 HUNT VALLEY, MD 21030 | NORTHWESTERN MUTUAL | $111 | $40 | $151 | 1.49% |
| SCOTT IODICE ASSC LLC3 | 111 S CALVERT ST STE 2500 BALTIMORE, MD 21202 | NORTHWESTERN MUTUAL | $111 | $13 | $124 | 1.22% |
| R TODD GRANDY3 | 307 INTERNATIONAL CIRCLE SUITE 310 HUNT VALLEY, MD 21030 | NORTHWESTERN MUTUAL | $509 | $128 | $637 | 6.94% |
| JASON S BELL3 | 307 INTERNATIONAL CIR STE 310 HUNT VALLEY, MD 21030 | NORTHWESTERN MUTUAL | $509 | $128 | $637 | 6.94% |
| DAVID WAYNE ZIEGLER3 | 307 INTERNATIONAL CIE STE 310 HUNT VALLEY, MD 21030 | NORTHWESTERN MUTUAL | $102 | $37 | $139 | 1.51% |
| SCOTT IODICE ASSC LLC3 | 111 S CALVERT ST STE 2500 BALTIMORE, MD 21202 | NORTHWESTERN MUTUAL | $102 | $12 | $114 | 1.24% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ENGLE HAMBRIGHT & DAVIES, INC. EIN 23-0558310 BROKER | Insurance agents and brokers Service code 22 | — | $16K |
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $11K |
| HIGHMARK BLUE SHIELD (CENTRAL) EIN 23-1294723 ADMIN | Claims processing Service code 12 | — | $7K |
| CONNECTCARE3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $2K |
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 | 68 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 68 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | NORTHWESTERN MUTUAL | 68 | $10K |
| Short-term disability | NORTHWESTERN MUTUAL | 39 | $9K |
| Long-term disability | NORTHWESTERN MUTUAL | 54 | $56K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 36 | $242K |
| Other | QUEST BEHAVIORAL HEALTH, INC | 138 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 138 | — |
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.