| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LIFETIME BENEFITS LLC3 | 843 QUINCE ORCHARD BLVD STE E GAITHERSBURG, MD 20878 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $2K | $42K | $45K | 2.35% |
| KELLY & ASSOCIATES INSURANCE GROUP3 | 1 KELLY WAY SPARKS, MD 21152 | AMERICAN UNITED LIFE INSURANCE COMPANY | $15K | $6K | $21K | 17.38% |
| KELLY & ASSOCIATES INSURANCE GROUP3 Filed as: KELLY BENEFIT STRATEGIES | 1 KELLY WAY SPARKS, MD 21152 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 7.85% |
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 | 385 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 385 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 159 | $1.9M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 159 | $1.9M |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 206 | $13K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 272 | $121K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 272 | $121K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 272 | $121K |
| Other | AMERICAN UNITED LIFE INSURANCE COMPANY | 272 | $121K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 272 | — |
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.