| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVENUE TOLEDO, OH 43604 | CAREFIRST BLUECHOICE, INC. | $0 | $56K | $56K | 5.67% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF MARYLAND, LLC | 540 FORT EVANS ROAD NE, SUITE 301 LEESBURG, VA 20176 | CAREFIRST BLUECHOICE, INC. | $0 | $52K | $52K | 5.24% |
| POTOMAC BASIN GROUP ASSOCIATES LLC5 Filed as: POTOMAC BASIN GROUP ASSOCIATES, LLC | 4740 CORRIDOR PLACE, SUITE B BELTSVILLE, MD 20705 | CAREFIRST BLUECHOICE, INC. | $0 | $10K | $10K | 1.00% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 565 METRO PLACE S, SUITE 450 DUBLIN, OH 43017 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $10K | $107 | $11K | 8.54% |
| HYLANT GROUP INC3 | 565 METRO PLACE S, SUITE 450 DUBLIN, OH 43017 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.69% |
| KELLY & ASSOCIATES INSURANCE GROUP3 Filed as: KELLY & ASSOCIATES INS. GROUP, INC. | 1 KELLY WAY SPARKS, MD 21152 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $393 | $393 | 0.32% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF MARYLAND, LLC | 170 JENNIFER ROAD, SUITE 130 ANNAPOLIS, MD 21401 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $122 | $0 | $122 | 0.10% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 565 METRO PLACE S, SUITE 450 DUBLIN, OH 43017 | UNITED CONCORDIA INSURANCE COMPANY | $3K | — | $3K | 4.26% |
| KELLY & ASSOCIATES INSURANCE GROUP3 Filed as: KELLY & ASSOCIATES INS. GROUP, INC. | 1 KELLY WAY SPARKS, MD 21152 | UNITED CONCORDIA INSURANCE COMPANY | $7 | $210 | $217 | 0.32% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP, INC. | 811 MADISON AVENUE TOLEDO, OH 43603 | VISION SERVICE PLAN | $585 | $0 | $585 | 4.87% |
| EMPLOYEE NAVIGATOR, LLC3 | 7979 OLD GEORGTOWN ROAD, SUITE 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $58 | $0 | $58 | 0.48% |
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF MARYLAND | 540 FORT EVANS ROAD, SUITE 301 LESSBURG, VA 20176 | VISION SERVICE PLAN | $35 | $0 | $35 | 0.29% |
No Schedule C service providers reported on this filing.
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 | 108 | 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) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CAREFIRST BLUECHOICE, INC. | 184 | $994K |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 203 | $69K |
| Vision | VISION SERVICE PLAN | 115 | $12K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 95 | $123K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 95 | $123K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 95 | $123K |
| Prescription drug | CAREFIRST BLUECHOICE, INC. | 184 | $994K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 95 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 203 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.