Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingTotal premium grew more than 20% over the prior year. The plan is a good candidate to re-shop its carriers.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The filing reports zero broker compensation on a plan over 100 participants. The plan likely buys direct or does not report its broker. Give it a call.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Bolton Partners Inc Life | Life | |
Dental | Dental | |
Dental | Dental |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 3 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 1,849 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 560 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,409 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | CAREFIRST BLUECROSS BLUESHIELD | 4,233 | $0 |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 2,526 | $704K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,233 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Symetra Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. PLAN ADMISTRATOR | Plan Administrator; Direct payment from the plan Service code 14 | 700 TOWER DRIVE TROY, MI 480982808 | $589K |
| ZELIS ADMINISTRATOR | Direct payment from the plan; Claims processing Service code 12 | 2 CROSSROADS DR BEDMINSTER, NJ 07921 | $478K |
| AMERICAN HEALTH HOLDING EIN 31-1368946 ADMINISTRATOR | Direct payment from the plan; Claims processing Service code 12 | P.O. BOX 6016 WORTHINGTON, OH 43085 | $148K |
| EXPRESS SCRIPTS ADMINISTRATOR | Direct payment from the plan; Claims processing Service code 12 | 1 EXPRESS WAY ST. LOUIS, MO 63121 | $142K |
| CAREFIRST NETWORK LEASING EIN 52-1187907 ADMINISTRATOR | Direct payment from the plan; Claims processing Service code 12 | 1501 S. CLINTON STREET BALTIMORE, MD 21224 | $116K |
| CAREFIRST OF MARYLAND, INC. EIN 52-1385894 ADMINISTRATOR | Claims processing; Direct payment from the plan Service code 12 | — | $96K |
| LOOMIS SAYLES TRUST COMPANY EIN 20-8080381 INVESTMENT MANAGEMENT | Investment management fees paid directly by plan Service code 51 | ONE FINANCIAL CENTER BOSTON, MA 02111 | $46K |
| MARCO CONSULTING GROUP, INC. EIN 36-3555078 INVESTMENT CONSULTANT | Direct payment from the plan; Investment advisory (plan) Service code 27 | 550 W. WASHINGTON BLVD CHICAGO, IL 60661 | $45K |
| WELLINGTON TRUST COMPANY, NA EIN 04-2755549 INVESTMENT MANAGEMENT | Investment management; Investment management fees paid directly by plan Service code 28 | — | $30K |
| DELTA DENTAL OF PENNSYLVANIA EIN 23-1667011 ADMINISTRATOR | Direct payment from the plan; Claims processing Service code 12 | — | $28K |
| BOLTON PARTNERS EIN 52-1231144 ACTUARY | Direct payment from the plan; Actuarial Service code 11 | 36 S. CHARLES STREET BALTIMORE, MD 21201 | $23K |
| ABATO, RUBENSTEIN & ABATO EIN 52-0904713 PLAN COUNSEL | Legal; Direct payment from the plan Service code 29 | 809 GLEN EAGLES COURT TOWSON, MD 21286 | $19K |
| HCFL EIN 52-1399339 AUDITOR | Direct payment from the plan; Accounting (including auditing) Service code 10 | 1954 GREENSPRING DRIVE TIMONIUM, MD 21093 | $19K |
| PNC BANK EIN 22-1146430 CUSTODIAN | Direct payment from the plan; Other investment fees and expenses Service code 50 | TWO HOPKINS PLAZA BALTIMORE, MD 21201 | $12K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
2 contacts
11 filings · 2015 to 2025