| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LAKESHORE BENEFIT GROUP INSURANCE3 Filed as: LAKESHORE BENEFIT GROUP | 529 MAIN ST PO BOX 670 NEW HARTFORD, CT 060572111 | METLIFE | $6K | — | $6K | 8.15% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CARDAY ASSOCIATES EIN 53-0257019 NONE | Direct payment from the plan; Plan Administrator Service code 14 | 7130 COLUMBIA GATEWAY DR, SUITE A COLUMBIA, MD 21046 | $191K |
| AMERICAN HEALTH HOLDING NONE | Claims processing; Direct payment from the plan Service code 12 | 7400 WEST CAMPUS ROAD F-510 NEW ALBANY, OH 43054 | $20K |
| SALTER & COMPANY, LLC EIN 20-8078757 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 4600 EAST WEST HIGHWAY BETHESDA, MD 20814 | $15K |
| CHARLES R BOTH NONE | Legal; Direct payment from the plan Service code 29 | 1666 CONNECTICUT AVE NW SUITE 5 WASHINGTON, DC 20009 | $12K |
| BOLTON PARTNERS NONE | Direct payment from the plan; Actuarial Service code 11 | 36 SOUTH CHARLES STREET BALTIMORE, MD 21201 | $11K |
| CAPITAL ONE NONE | Direct payment from the plan; Trustee (directed) Service code 25 | 1680 CAPITAL ONE DR 10TH FL MCLEAN, VA 21210 | $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 | 362 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 34 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 396 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | DAVIS VISION | 929 | $0 |
| Life insurance | METLIFE | 471 | $77K |
| Other(2 contracts, 2 carriers) | METLIFE | 471 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 929 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.