| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EBERTS & HARRISON INC3 | 10630 LITTLE PATUXENT PKWY SUITE 329 CLOUMBIA, MD 21044 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 5.29% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Named fiduciary; Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $78K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Trustee (bank, trust company, or similar financial institution); Other services; Direct payment from the plan Service code 21 | — | $39K |
| CONDUENT HR CONSULTING, LLC EIN 13-3954297 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $34K |
| BOND BEEBE, P.C. EIN 52-1044197 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $32K |
| AMALGAMATED BANK OF CHICAGO EIN 36-0721895 NONE | Float revenue; Custodial (securities); Direct payment from the plan Service code 19 | — | $1K |
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 | 215 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 127 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 342 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 524 | $5.1M |
| Dental | AETNA LIFE INSURANCE CO. | 524 | $5.1M |
| Vision | AETNA LIFE INSURANCE CO. | 524 | $5.1M |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 335 | $145K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 335 | $145K |
| Prescription drug | AETNA LIFE INSURANCE CO. | 524 | $5.1M |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 335 | $145K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 524 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.