| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KELLER BENEFIT SERVICES, INC.3 | 7316 WISCONSIN AVENUE, SUITE 400 BETHESDA, MD 20814 | KAISER FOUNDATION HEALTH PLAN OF MID-ATLANTIC STATES, INC. | $45K | $3K | $48K | 4.73% |
| KELLER BENEFIT SERVICES, INC.3 | 7316 WISCONSIN AVENUE, SUITE 400 BETHESDA, MD 20814 | METROPOLITAN LIFE INSURANCE COMPANY | $26K | $0 | $26K | 2.82% |
| KELLER BENEFIT SERVICES, INC.3 | 7316 WISCONSIN AVENUE, SUITE 400 BETHESDA, MD 20814 | VISION SERVICE PLAN | $3K | $0 | $3K | 2.22% |
| PHYLLIS ADAMS4 | 210 N TYRONE RD BALTIMORE, MD 21212 | LEGALSHIELD | $3K | $0 | $3K | 17.92% |
| WILLIAM WALLACE4 | P.O. BOX 104 MANOMET, MA 02345 | LEGALSHIELD | $70 | $0 | $70 | 0.46% |
| GC FRANKLIN & ASSOCIATES4 | P.O. BOX 1314 HUNT VALLEY, MD 21030 | LEGALSHIELD | $68 | $0 | $68 | 0.44% |
| CHRISTA G AUFDEMBERG INC4 Filed as: CHRISTA G. AUFDEMBERG, INC. | 13102 BRITTANY WOODS DR TUSTIN, CA 92780 | LEGALSHIELD | $22 | $0 | $22 | 0.14% |
| INFINITI BENEFITS LLC4 | 3905 NATIONAL DR BURTONSVILLE, MD 20866 | LEGALSHIELD | $15 | $0 | $15 | 0.10% |
| JASON SALLEMI3 | 302 MONROE ST APT 4B HOBOKEN, NJ 07030 | AFLAC | $212 | $0 | $212 | 10.71% |
| TODD J BURKE CORP3 | 2 IRIS LANE GARDEN CITY, NY 11530 | AFLAC | $38 | $0 | $38 | 1.92% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C. MEIER CORP | 401 FRANKLIN AVENUE STE 312 GARDEN CITY, NY 11530 | AFLAC | $20 | $0 | $20 | 1.01% |
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 | 928 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 17 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 959 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES | 1,280 | $3.1M |
| Dental | CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES | 1,280 | $1.8M |
| Vision | VISION SERVICE PLAN | 666 | $146K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,927 | $916K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,927 | $916K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,927 | $916K |
| Prescription drug(4 contracts, 4 carriers) | CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES | 1,280 | $3.0M |
| Other(4 contracts, 4 carriers) | CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES | 1,927 | $2.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,927 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.