| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND | 540 FORT EVANS RD., STE. 301 LEESBURG, VA 20176 | SUN LIFE ASSURANCE COMPANY OF CANADA | $53K | — | $53K | 11.00% |
| KELLY & ASSOCIATES INSURANCE GROUP3 | 1 KELLY WAY SPARKS, MD 21152 | SUN LIFE ASSURANCE COMPANY OF CANADA | $32K | — | $32K | 6.60% |
| CFA LLC3 | 1501 S CINTON ST., 7TH FL BALTIMORE, MD 21224 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $14K | $14K | 2.92% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND | 540 FORT EVANS RD., STE. 301 LEESBURG, VA 20176 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $17K | — | $17K | 14.00% |
| KELLY & ASSOCIATES INSURANCE GROUP3 | 1 KELLY WAY SPARKS, MD 21152 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $6K | $6K | 5.00% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND | 540 FORT EVANS RD., STE. 301 LEESBURG, VA 20176 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $13K | — | $13K | 14.00% |
| KELLY & ASSOCIATES INSURANCE GROUP3 | 1 KELLY WAY SPARKS, MD 21152 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $5K | $5K | 5.00% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND | 540 FORT EVANS RD., STE. 301 LEESBURG, VA 20176 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | — | $6K | 14.00% |
| KELLY & ASSOCIATES INSURANCE GROUP3 | 1 KELLY WAY SPARKS, MD 21152 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND | 540 FORT EVANS RD., STE. 301 LEESBURG, VA 20176 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 14.00% |
| KELLY & ASSOCIATES INSURANCE GROUP3 | 1 KELLY WAY SPARKS, MD 21152 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $440 | $440 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CAREFIRST ADMINISTRATORS EIN 52-1187907 TPA | Claims processing; Contract Administrator Service code 12 | — | $171K |
| NAVITUS HEALTH SOLUTIONS LLC EIN 04-3608530 RX PBM | Claims processing; Contract Administrator Service code 12 | — | $38K |
| KELLY & ASSOCIATES INNSURANCE BROKER | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 1 KELLY WAY SPARKS, MD 21152 | $10K |
| HILB GROUP OF MARYLAND BROKER | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 540 FORT EVANS RD. NE STE. 301 LEESBURG, VA 20176 | $4K |
| CONIFER VALUE-BASED CARE EIN 52-1964905 UTILIZATION MANAGEMENT | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $778 |
| ENGAGED HEALTH GROUP LLC EIN 04-3608530 UTILIZATION MANAGEMENT | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $72 |
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 | 337 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 338 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 337 | $99K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 321 | $40K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 98 | $118K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 275 | $480K |
| Other | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 337 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 337 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.