| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GROUP VISION SERVICES MGMT INC | — | DENTEGRA INSURANCE COMPANY | $179K | — | $179K | 4.00% |
| BENEFIT COMMUNICATION SERVICES, INC | 7771 WEST OAKLAND PARK BLVD FORT LAUDERDALE, FL 33351 | METROPOLITAN LIFE INSURANCE COMPANY | $193K | — | $193K | 29.57% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ASSOCIATED ADMINISTRATORS, LLC EIN 65-1205077 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | 911 RIDGEBROOK RD. SPARKS, MD 211529451 | $5.5M |
| AKMAN AND ASSOCIATES EIN 52-1358460 NONE | Legal; Direct payment from the plan Service code 29 | 1402 FRONT AVENUE LUTHERVILLE, MD 21093 | $2.9M |
| MEDCO HEALTH SOLUTIONS EIN 22-3461740 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $1.7M |
| CONIFER VALUE-BASED CARE LLC EIN 52-1964905 | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 7624 WARREN PARKWAY FRISCO, TX 75034 | $761K |
| CAREFIRST BLUECROSS BLUESHIELD EIN 52-1385894 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $647K |
| SLEVIN & HART, P.C. EIN 52-1708613 NONE | Legal; Direct payment from the plan Service code 29 | 1625 MASSACHUSEETS AVENUE, NW WASHINGTON, DC 20036 | $226K |
| THE SEGAL COMPANY (EASTERN STATES) EIN 13-1835864 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $119K |
| CALIBRE CPA GROUP, PLLC EIN 47-0900880 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 7501 WISCONSIN AVENUE BETHESDA, MD 20814 | $112K |
| CHEIRON, INC. EIN 13-4215617 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $85K |
| INVESTMENT PERFORMANCE SERVICES NONE | Consulting (general); Direct payment from the plan Service code 16 | 642 NEWTON YARDLEY ROAD NEWTOWN, PA 18940 | $50K |
| GROOM LAW GROUP, CHARTERED EIN 52-1219029 NONE | Legal; Direct payment from the plan Service code 29 | 1701 PENNSYLVANIA AV, NW, STE 1200 WASHINGTON, DC 20006 | $39K |
| WOODARD INSURANCE AGENCY EIN 26-0422950 | Insurance services Service code 23 | 1704 CAROLINA BLVD TOPSAIL BEACH, NC 28445 | $30K |
| CONFIDIO, LLC NONE | Consulting fees Service code 70 | 502 WASHINGTON AVE STE 450 TOWSON, MD 21204 | $0 |
| MELLON CAPITAL MANAGEMENT EIN 25-6078093 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 50 FREMONT STREET, SUITE 3900 SAN FRANCISCO, CA 94105 | $0 |
| PNC FINANCIAL SERVICES, INC. EIN 22-1146430 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | TWO HOPKINS PLACE BALTIMORE, MD 21201 | $0 |
| SEGAL SELECT INSURANCE | Insurance brokerage commissions and fees Service code 53 | — | $0 |
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 | 9,158 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,044 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 12,202 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF MID-ATLANTIC STATES, INC. | 6,303 | $6.3M |
| Dental | DENTEGRA INSURANCE COMPANY | 15,195 | $4.5M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 17,461 | $651K |
| Life insurance(2 contracts) | SYMETRA LIFE INSURANCE COMPANY | 9,228 | $84K |
| Other(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 9,228 | $117K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 17,461 | — |
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.