| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANDREW H BENJAMIN3 | 953 MOUNT HERMON ROAD SUITE 101 SALISBURY, MD 21804 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $973 | $0 | $973 | 4.79% |
| HOLLISTER BENEFITS COMPANY3 | 1319 MT. HERMON ROAD SUITE 2A SALISBURY, MD 21804 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $973 | $0 | $973 | 4.79% |
| FINACIAL BALANCE GROUP LLC3 | 9200 CORPORATE BLVD SUITE 390 ROCKVILLE, MD 20850 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $9 | $0 | $9 | 0.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CMFI (CAREFIRST) EIN 52-1358219 ADMIN | Claims processing Service code 12 | — | $24K |
| THE BENECON GROUP, LLC EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $12K |
| AVON DIXON, AN ALERA GROUP AGENCY EIN 81-4473358 BROKER | Insurance agents and brokers Service code 22 | — | $12K |
| ANDREW H. BENJAMIN BROKER | Insurance agents and brokers Service code 22 | 953 MOUNT HERMON RD STE 101 SALISBURY, MD 21804 | $7K |
| CONNECTCARE 3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $3K |
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 | 53 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 53 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 24 | $20K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 24 | $20K |
| Stop-loss / reinsurancereinsurance | EVEREST REINSURANCE COMPANY | 53 | $263K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 24 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 53 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.