| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON PARTNERS, INC. | 36 S. CHARLES ST. BALTIMORE, MD 21201 | AETNA LIFE INSURANCE CO. | $109K | — | $109K | 1.97% |
| LABOR FIRST LLC3 | 3000 MIDLANTIC DRIVE SUITE 101 MT. LAUREL, NJ 08054 | HARTFORD LIFE AND ACCIDENT | $0 | $0 | $0 | 0.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON PARTNERS, INC. | 36 S. CHARLES ST. BALTIMORE, MD 21201 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $5K | — | $5K | 1.74% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUMRX, INC. EIN 33-0441200 PHARMACY BENEFIT MANAGEMT | Direct payment from the plan; Claims processing; Other fees; Float revenue Service code 12 | — | $2.8M |
| CAREFIRST OF MARYLAND, INC. EIN 52-1385894 MEDICAL BENEFIT MANAGEMT | Direct payment from the plan; Claims processing; Other fees Service code 12 | — | $984K |
| ASSOCIATED ADMINISTRATORS, LLC EIN 52-0940029 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $290K |
| BOLTON PARTNERS, INC. EIN 52-1231144 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $191K |
| CAREFIRST BC/BS OF MARYLAND EIN 52-1385894 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $112K |
| CONIFER VALUE-BASED CARE, LLC EIN 52-1964905 NONE | Insurance services; Direct payment from the plan Service code 23 | 1596 WHITEHALL RD ANNAPOLIS, MD 21409 | $103K |
| ASMED HEALTH PARTNERSHIP EIN 65-0456637 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $57K |
| CHARTWELL INVESTMENT PARTNERS EIN 36-4776242 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | 1235 WESTLAKES DR, SUITE 400 BERWYN, PA 19312 | $48K |
| INVESTMENT PERFORMANCE SERVICES, LL EIN 58-2432390 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $25K |
| ABATO, RUBENSTEIN AND ABATO EIN 52-0904713 NONE | Legal; Direct payment from the plan Service code 29 | — | $25K |
| CHUBB FIDUCIARY LIABILITY INSURANCE EIN 13-1963496 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $17K |
| WEYRICH, CRONIN & SORRA, LLC EIN 81-4643077 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $12K |
| COLUMBIA PARTNERS, LLC NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | 5425 WISCONSIN AVE, SUITE 700 CHEVY CHASE, MD 20815 | $10K |
| PNC BANK EIN 22-1146430 NONE | Investment management fees paid directly by plan; Investment management; Custodial (securities) Service code 19 | — | $10K |
| KENNETH KAHL NONE | Direct payment from the plan; Trustee (individual) Service code 20 | 11815 RENOLDS ROAD KINGSVILLE, MD 21087 | $9K |
| SCHMITZ & SONS, INC. EIN 52-0569969 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $6K |
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 | 1,449 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 433 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,882 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GHMSI | 312 | $44K |
| Dental | GHMSI | 312 | $44K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 568 | $1.3M |
| Prescription drug(2 contracts, 2 carriers) | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | 564 | $1.1M |
| Other | HARTFORD LIFE AND ACCIDENT | 568 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,137 | — |
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.