| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 1803 RESEARCH BLVD SUITE 604 ROCKVILLE, MD 20850 | GROUP HOSPITALIZATION MEDICAL SERVICES INC | $137K | — | $137K | 2.83% |
| ACRISURE LLC3 | 1803 RESEARCH BLVD SUITE 604 ROCKVILLE, MD 20850 | KAISER FOUNDATION HEALTH PLAN OF MID ATLANTIC | $33K | $3K | $36K | 3.54% |
| ACRISURE LLC3 | 1803 RESEARCH BLVD SUITE 604 ROCKVILLE, MD 20850 | UNUM LIFE INSURANCE COMPANY | $3K | $5K | $8K | 1.45% |
| ACRISURE LLC3 | 1803 RESEARCH BLVD SUITE 604 ROCKVILLE, MD 20850 | GROUP HOSPITALIZATION MEDICAL SERVICES INC | $37K | $7K | $45K | 13.25% |
| AMWINS5 Filed as: AMWINS CONNECT ADMINISTRATORS INC | 11350 MCCORMICK ROAD EXECUTIVE PLAZA IV SUITE 400 COCKEYSVILLE, MD 21031 | GROUP HOSPITALIZATION MEDICAL SERVICES INC | — | $14K | $14K | 4.03% |
| ACRISURE LLC3 | 1803 RESEARCH BLVD SUITE 604 ROCKVILLE, MD 20850 | UNUM LIFE INSURANCE COMPANY | $21K | $2K | $24K | 11.10% |
| ACRISURE LLC3 | 1803 RESEARCH BLVD SUITE 604 ROCKVILLE, MD 20850 | UNUM LIFE INSURANCE COMPANY | $17K | $1K | $18K | 26.82% |
| ACRISURE LLC3 | 1803 RESEARCH BLVD SUITE 604 ROCKVILLE, MD 20850 | UNUM LIFE INSURANCE COMPANY | $10K | $666 | $10K | 27.94% |
| ACRISURE LLC3 | 1803 RESEARCH BLVD SUITE 604 ROCKVILLE, MD 20850 | UNUM LIFE INSURANCE COMPANY | $8K | $550 | $8K | 26.82% |
| ACRISURE LLC3 | 1803 RESEARCH BLVD SUITE 604 ROCKVILLE, MD 20850 | UNUM LIFE INSURANCE COMPANY | $3K | $460 | $3K | 11.72% |
| ACRISURE LLC3 | 1803 RESEARCH BLVD SUITE 604 ROCKVILLE, MD 20850 | LEGAL RESOURCES | $604 | — | $604 | 6.44% |
| ACRISURE LLC3 | 1803 RESEARCH BLVD SUITE 604 ROCKVILLE, MD 20850 | LEGAL RESOURCES | $307 | — | $307 | 6.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNUM LIFE INSURANCE COMPANY EIN 01-0278678 N/A | Investment advisory (plan) Service code 27 | — | $34K |
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 | 707 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 707 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | GROUP HOSPITALIZATION MEDICAL SERVICES INC | 693 | $5.8M |
| Dental | GROUP HOSPITALIZATION MEDICAL SERVICES INC | 978 | $337K |
| Vision | GROUP HOSPITALIZATION MEDICAL SERVICES INC | 978 | $337K |
| Life insurance | UNUM LIFE INSURANCE COMPANY | 707 | $27K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY | 263 | $521K |
| Prescription drug(2 contracts, 2 carriers) | GROUP HOSPITALIZATION MEDICAL SERVICES INC | 693 | $5.8M |
| Other(6 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY | 314 | $361K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 978 | — |
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."
No prospect flags tripped on this filing.