| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 66119 VIRGINIA BEACH, VA 23466 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $15K | — | $15K | 1.67% |
| USI INSURANCE SERVICES LLC3 | 11350 MCCORMICK RD STE 1203 HUNT VALLEY, MD 21031 | AMERITAS LIFE INSURANCE CORP | — | $12K | $12K | 2.56% |
| ALAN J LEVIN3 | 20 W WASHINGTON STREET SUITE 301 HAGERSTOWN, MD 21740 | NORTHWESTERN MUTUAL | $8K | $2K | $10K | 14.26% |
| JASON S BELL3 Filed as: JASON BELL | 307 INTERNATIONAL CIR. STE 310 HUNT VALLEY, MA 21030 | NORTHWESTERN MUTUAL | $2K | $746 | $3K | 4.54% |
| R TODD GRANDY3 | 307 INTERNATIONAL CIRCLE SUITE 310 HUNT VALLEY, MD 21030 | NORTHWESTERN MUTUAL | $2K | $639 | $3K | 3.86% |
| JOSHUA HAYES PARISH3 | 150 S EAST STREET SUITE 303 FREDERICK, MD 21701 | NORTHWESTERN MUTUAL | $486 | $1K | $2K | 2.31% |
| SCOTT IODICE ASSC LLC3 Filed as: SCOTT IODICE ASSOC LLC | 111 S CALVERT STREET SUITE 2500 BALTIMORE, MD 21202 | NORTHWESTERN MUTUAL | $670 | $541 | $1K | 1.78% |
| CULLEN DOUGLASS3 | 1600 DIVISION STREET SUITE 400 NASHVILLE, TN 37203 | NORTHWESTERN MUTUAL | — | $68 | $68 | 0.10% |
| NM HARRISBURG INC3 | 4431 N FRONT STREET SUITE 102 HARRISBURG, PA 17110 | NORTHWESTERN MUTUAL | $50 | $6 | $56 | 0.08% |
| SCOTT D BUTLER3 | 1101 WOOTTON PKWY SUITE 580 ROCKVILLE, MD 20852 | NORTHWESTERN MUTUAL | -$1 | -$3 | -$4 | -0.01% |
| DANIEL WISTED3 | 3440 PRESTON RIDGE ROAD SUITE 325 ALPHARETTA, GA 30005 | NORTHWESTERN MUTUAL | — | -$75 | -$75 | -0.11% |
| DREW E SAMELSON3 | 213 W CORNSTOCK AVENUE SUITE 101 WINTER PARK, FL 32789 | NORTHWESTERN MUTUAL | — | -$159 | -$159 | -0.23% |
| R TODD GRANDY3 | 307 INTERNATIONAL CIR. STE 310 HUNT VALLEY, MD 21030 | NORTHWESTERN MUTUAL | $142 | $36 | $178 | 2.54% |
| ALAN J LEVIN3 | 20 W WASHINGTON STREET SUITE 301 HAGERSTOWN, MD 21740 | NORTHWESTERN MUTUAL | $142 | $36 | $178 | 2.54% |
| SCOTT IODICE ASSC LLC3 Filed as: SCOTT IODICE ASSOC LLC | 111 S CALVERT STREET SUITE 2500 BALTIMORE, MD 21202 | NORTHWESTERN MUTUAL | $43 | $5 | $48 | 0.68% |
| JOSHUA HAYES PARISH3 | 150 S EAST STREET SUITE 303 FREDERICK, MD 21701 | NORTHWESTERN MUTUAL | $14 | $5 | $19 | 0.27% |
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 | 2,611 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 504 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | AMERITAS LIFE INSURANCE CORP | 4,155 | $477K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 3,025 | $913K |
| Short-term disability | NORTHWESTERN MUTUAL | 0 | $7K |
| Long-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 3,025 | $981K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 3,025 | $913K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,155 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.