| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ISI OF MARYLAND LLC3 | 170 JENNIFER RD., STE. 130 ANNAPOLIS, MA 21401 | UNITEDHEALTHCARE INSURANCE COMPANY | $35K | — | $35K | 2.45% |
| KELLY & ASSOCIATES INSURANCE GROUP3 Filed as: KELLY & ASSOC INSURANCE GROUP INC | 1 KELLY WAY SPARKS, MD 21152 | UNITEDHEALTHCARE INSURANCE COMPANY | $12K | — | $12K | 0.84% |
| ISI OF MARYLAND LLC3 | 170 JENNIFER RD., STE. 130 ANNAPOLIS, MD 21401 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $13K | $1K | $14K | 12.94% |
| KELLY & ASSOCIATES INSURANCE GROUP3 | 1 KELLY WAY SPARKS, MD 21152 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $5K | $5K | 4.31% |
| ISI OF MARYLAND LLC3 | 170 JENNIFER RD., STE. 130 ANNAPOLIS, MD 21401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 7.52% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND LLC | 540 FORT EVANS RD. NE, STE. 301 LEESBURG, VA 20176 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 4.95% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND, LLC | 22934 THREE NOTCH RD., UNIT B CALIFORNIA, MD 20619 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 4.01% |
| ISI OF MARYLAND LLC5 | 170 JENNIFER RD., STE. 130 ANNAPOLIS, MD 21401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 3.13% |
| HILB GROUP OF NEW ENGLAND5 Filed as: HILB GROUP OF MARYLAND, LLC | 22934 THREE NOTCH RD., UNIT B CALIFORNIA, MD 20619 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $925 | $925 | 1.67% |
| ISI OF MARYLAND LLC3 | 170 JENNIFER RD., STE. 130 ANNAPOLIS, MD 21401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 7.56% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND LLC | 540 FORT EVANS RD. NE, STE. 301 LEESBURG, VA 20176 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 4.96% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND, LLC | 22934 THREE NOTCH RD UNIT B CALIFORNIA, MD 20619 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 4.00% |
| ISI OF MARYLAND LLC5 | 170 JENNIFER RD., STE. 130 ANNAPOLIS, MD 21401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 3.15% |
| HILB GROUP OF NEW ENGLAND5 Filed as: HILB GROUP OF MARYLAND, LLC | 22934 THREE NOTCH RD UNIT B CALIFORNIA, MD 20619 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $721 | $721 | 1.67% |
| ISI OF MARYLAND LLC3 | 170 JENNIFER RD., STE. 130 ANNAPOLIS, MD 21401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 8.72% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND LLC | 540 FORT EVANS RD. NE, STE. 301 LEESBURG, VA 20176 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.22% |
| ISI OF MARYLAND LLC5 | 170 JENNIFER RD., STE. 130 ANNAPOLIS, MD 21401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 3.64% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND LLC | 22934 THREE NOTCH RD., UNIT B CALIFORNIA, MD 20619 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 3.27% |
| HILB GROUP OF NEW ENGLAND5 Filed as: HILB GROUP OF MARYLAND, LLC | 22934 THREE NOTCH RD., UNIT B CALIFORNIA, MD 20619 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $504 | $504 | 1.36% |
| ISI OF MARYLAND LLC3 Filed as: ISI OF MARYLAND, LLC | 170 JENNIFER RD., STE. 130 ANNAPOLIS, MD 21401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 7.92% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND, LLC | 540 FORT EVANS RD. NE, STE. 301 LEESBURG, VA 20176 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.01% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND, LLC | 22934 THREE NOTCH RD., UNIT B CALIFORNIA, MD 20619 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 3.90% |
| ISI OF MARYLAND LLC5 Filed as: ISI OF MARYLAND, LLC | 170 JENNIFER RD., STE. 130 ANNAPOLIS, MD 21401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 3.30% |
| HILB GROUP OF NEW ENGLAND5 Filed as: HILB GROUP OF MARYLAND, LLC | 22934 THREE NOTCH RD., UNIT B CALIFORNIA, MD 20619 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $520 | $520 | 1.63% |
| ISI OF MARYLAND LLC3 Filed as: ISI OF MARYLAND | 170 JENNIFER RD., STE. 130 ANNAPOLIS, MD 21401 | EYEMED VISION CARE | $1K | — | $1K | 4.52% |
| KELLY & ASSOCIATES INSURANCE GROUP5 Filed as: KELLY & ASSOCIATES | 1 KELLY WAY SPARKS, MD 21152 | EYEMED VISION CARE | $0 | $749 | $749 | 3.21% |
| HILB GROUP OF NEW ENGLAND3 Filed as: HILB GROUP OF MARYLAND LLC | 118 EDENDERRY AVE CENTREVILLE, MD 21617 | EYEMED VISION CARE | $269 | — | $269 | 1.15% |
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 | 174 | 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) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 277 | $1.4M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 140 | $109K |
| Vision | EYEMED VISION CARE | 385 | $23K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 174 | $32K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 174 | $55K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 174 | $43K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 174 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 385 | — |
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.