| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALAN J ZUCCARI INC3 | 4100 MONUMENT CORNER DRIVE FAIRFAX, VA 22030 | AETNA HEALTH, INC. | $8K | — | $8K | 0.11% |
| ARMFIELD HARRISON & THOMAS3 Filed as: ARMFIELD HARRISON & THOMAS LLC DBA | 6720B ROCKLEDGE DR, SUITE 400 BETHESDA, MD 20817 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC | $247K | $0 | $247K | 5.46% |
| ALAN J ZUCCARI INC3 Filed as: ALAN J ZUCCARI INC.DBA HAMILTON INS | 4100 MONUMENT CORNER DRIVE SUITE 500 FAIRFAX, VA 220308621 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC | $155K | $18K | $174K | 3.84% |
| ARMFIELD HARRISON & THOMAS3 Filed as: ARMFIELD HARRISON & THOMAS LLC | 6720-B ROCKLEDGE DR BETHESDA, MD 20817 | AETNA LIFE INSURANCE CO. | $49K | — | $49K | 1.15% |
| ALAN J ZUCCARI INC3 | 4100 MONUMENT CORNER DRIVE FAIRFAX, VA 22030 | AETNA LIFE INSURANCE CO. | $7K | — | $7K | 0.15% |
| THE CAPITAL GROUP LLC3 Filed as: THE CAPITAL GROUP ASSOCIATION CONSU | 6720B ROCKLEDGE DR, STE 400 BETHESDA, MD 20817 | AETNA LIFE INSURANCE CO. | -$421 | — | -$421 | -0.01% |
| THE CAPITAL GROUP LLC3 Filed as: THE CAPITAL GROUP, LLC | 6720 B ROCKLEDGE DR STE 400 BETHESDA, MD 20817 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $7K | — | $7K | 6.98% |
| THE CAPITAL GROUP LLC3 Filed as: THE CAPITAL GROUP ASSOCIATION CONSU | 6720B ROCKLEDGE DR STE 400 BETHESDA, MD 20817 | METROPOLITAN LIFE INSURANCE COMPANY | $406 | $273 | $679 | 1.54% |
| INSURANCE MARKETPLACE LLC3 | 11350 RANDOM HILLS RD STE 863 FAIRFAX, VA 220307428 | METROPOLITAN LIFE INSURANCE COMPANY | $505 | $0 | $505 | 1.14% |
| ARMFIELD HARRISON & THOMAS3 Filed as: ARMFIELD HARRISON AND THOMAS INC DB | 6720B ROCKLEDGE DR STE 400 BETHESDA, MD 208171885 | METROPOLITAN LIFE INSURANCE COMPANY | $161 | $0 | $161 | 0.36% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NONSTOP ADMINISTRATION AND INSURANC CLAIMS PROCESSING | Claims processing Service code 12 | 1800 SUTTER STREET, SUITE 730 CONCORD, CA 94520 | $1.5M |
| CENTER FOR NONPROFIT ADVANCEMENT EIN 52-1139669 ADMINISTRATOR | Plan Administrator Service code 14 | — | $216K |
| CALIBRE CPA GROUP EIN 47-0900880 ACCOUNTING SERVICES | Accounting (including auditing) Service code 10 | — | $99K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 AUDIT & ACCOUNTING | Accounting (including auditing) Service code 10 | — | $33K |
| COOLEY AND DARLING EIN 56-2672096 INSURANCE SERVICES | Insurance services Service code 23 | — | $30K |
| M & T BANK EIN 16-0538020 TRUSTEE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $21K |
| SIMPLE IT CARE EIN 71-0981985 IT SERVICES | Other services Service code 49 | — | $19K |
| KILPATRICK, TOWNSEND AND STOCKTON EIN 58-0511774 LEGAL | Legal Service code 29 | — | $11K |
| GIVHERO EIN 82-1862520 INSURANCE | Insurance services Service code 23 | — | $9K |
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 | 3,023 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 21 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,044 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC | 2,055 | $8.8M |
| Dental | AETNA LIFE INSURANCE CO. | 2,055 | $4.3M |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 1,451 | $102K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 2,374 | $44K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 2,374 | $44K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 2,374 | $44K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 2,374 | $44K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,374 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.