| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ED CHICOSKI3 | 301 ALBANY TPKE CANTON, CT 060192528 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 7.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CARDAY ASSOCIATES EIN 53-0257019 NONE | Contract Administrator Service code 13 | 7130 COLUMBIA GATEWAY DRIVE,SUITE A COLUMBIA, MD 21046 | $109K |
| SALTER & COMPANY EIN 20-8078757 NONE | Accounting (including auditing) Service code 10 | 4600 EAST-WEST HWY SUITE 300 BETHESDA, MD 20814 | $18K |
| O'DONOGHUE & O'DONOGHUE EIN 53-0120528 NONE | Legal Service code 29 | 4748 WISCONSIN AVE, NW WASHINGTON, DC 20016 | $13K |
| THE MCKEOGH COMPANY EIN 23-3003375 NONE | Actuarial Service code 11 | 200 BARR HARBOR DR WEST CONSHOHOCKEN, PA 19428 | $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 | 200 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 202 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF MID-ATLANTIC STATES | 544 | $3.4M |
| Dental | GROUP DENTAL SERVICE OF MARYLAND, INC. | 316 | $54K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 104 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 544 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.