| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| A Y BENEFITS INC3 | 7500 OLD GEORGETOWN ROAD, STE #1225 BETHESDA, MD 20814 | GHMSI/CAREFIRST BLUECHOICE | $63K | $56 | $63K | 4.00% |
| MATHER & STROHL ADMINISTRATIVE SVCS5 | 501 FAIRMOUNT AVENUE, SUITE 400 TOWSON, MD 21284 | GHMSI/CAREFIRST BLUECHOICE | — | $12K | $12K | 0.75% |
| A Y BENEFITS INC3 | 7500 OLD GEORGETOWN ROAD, STE #1225 BETHESDA, MD 20814 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 3.32% |
| AY BENEFITS LLC3 Filed as: AY HOLDINGS INC | 7500 OLD GEORGETOWN ROAD, STE #1225 BETHESDA, MD 20814 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 10.45% |
| NFP INSURANCE SERVICES INC5 Filed as: NFP INSURANCE SERVICES INC. | 1250 CAPITAL OF TX HWY S, BLDG II, AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $432 | $432 | 1.18% |
| A Y BENEFITS INC3 | 7500 OLD GEORGETOWN ROAD, STE #1225 BETHESDA, MD 20814 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 7.87% |
| NFP INSURANCE SERVICES INC5 Filed as: NFP INSURANCE SERVICES INC. | 1250 CAPITAL OF TX HWY S, BLDG II, AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $312 | $312 | 1.19% |
No Schedule C service providers reported on this filing.
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 | 143 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GHMSI/CAREFIRST BLUECHOICE | 137 | $1.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 258 | $104K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 143 | $26K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 143 | $26K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 143 | $37K |
| Prescription drug | GHMSI/CAREFIRST BLUECHOICE | 137 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 258 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.