| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | $68K | $4K | $72K | 3.10% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 15800 CRABBS BRANCH WAY, SUITE 350 ROCKVILLE, MD 20855 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $28K | $0 | $28K | 11.59% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $0 | $83 | $83 | 0.03% |
| ENROLLEASE3 Filed as: GOLDEN AND COHEN, LLC | 6500 ROCK SPRING DRIVE, SUITE 500 BETHESDA, MD 20817 | AFLAC | $8K | $0 | $8K | 6.20% |
| MJ INSURANCE3 Filed as: LISA GROOM AND VARIOUS AGENTS | 32836 ALMWICK LANE LEWES, DE 19958 | AFLAC | $4K | $390 | $4K | 3.29% |
| JASON D ELLIS3 Filed as: JASON BARE | 203 MARKET STREET, SUITE 201 HAVRE DE GRACE, MD 21078 | AFLAC | $3K | $471 | $4K | 3.22% |
| BEVERLY THOMAS3 | 601 POST OFFICE ROAD, SUITE 2A WALDORF, MD 20602 | AFLAC | $2K | $273 | $3K | 2.23% |
| MICHAEL C WALKER3 Filed as: MICHAEL WALKER | 203 MARKET STREET, SUITE 201 HAVRE DE GRACE, MD 21078 | AFLAC | $2K | $256 | $3K | 2.09% |
| MID ATLANTIC BENEFITS GROUP LLC3 Filed as: MID ATLANTIC BENEFITS GROUP, LLC | 203 MARKET STREET, SUITE 210 HAVRE DE GRACE, MD 21078 | AFLAC | $2K | $0 | $2K | 1.76% |
| ERNESTO MCKENZIE JR3 Filed as: ERNESTO MCKENZIE JR. | 9210 TOMS TRAIL LAUREL, MD 20723 | AFLAC | $1K | $71 | $1K | 1.17% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 702 KING FARM BOULEVARD, SUITE 210 ROCKVILLE, MD 20850 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $107 | $6K | 5.44% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60690 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 1.62% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $13 | $13 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | VISION SERVICE PLAN | $2K | $0 | $2K | 9.99% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 15800 CRABBS BRANCH WAY, SUITE 350 ROCKVILLE, MD 20855 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 10.50% |
| STRATEGIC NON-MEDICAL SOLUTION3 | ONE BEACON STREET, SUITE 17100 BOSTON, MA 02108 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 10.50% |
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 | 395 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 396 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | 223 | $2.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 352 | $117K |
| Vision | VISION SERVICE PLAN | 143 | $22K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 395 | $238K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 395 | $238K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 395 | $238K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | 223 | $2.3M |
| Other(3 contracts, 3 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 395 | $372K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 395 | — |
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.