| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRIBRIDGE PARTNERS LLC3 | 5280 CORPORATE DRIVE SUITE C250 FREDERICK, MD 21703 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | — | $69K | $69K | 2.00% |
| TRIBRIDGE PARTNERS LLC3 | 5280 CORPORATE DRIVE SUITE C250 FREDERICK, MD 21703 | UNITED CONCORDIA INSURANCE COMPANY | $10K | $2K | $12K | 7.56% |
| EBSME LLC3 | PO BOX 120 MOUNT AIRY, MD 21771 | UNITED CONCORDIA INSURANCE COMPANY | $6K | $322 | $6K | 3.70% |
| TRIBRIDGE PARTNERS LLC3 | 1 E PRTT STREET SUITE 902 BALTIMORE, MD 21202 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $3K | $11K | 15.67% |
| EBSME LLC3 | 4704 DE INVIERNO WAY MOUNT AIRY, MD 21771 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $2K | $5K | 6.75% |
| PROSENTIAL BENEFITS LLC3 | 40 TIOGA WAY SUITE 230 MARBLEHEAD, MA 01945 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $499 | $499 | 0.74% |
| TRIBRIDGE PARTNERS LLC3 | 1 E PRATT STREET SUITE 902 BALTIMORE, MD 21202 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $2K | $9K | 15.68% |
| EBSME LLC3 | 4704 DE INVIERNO WAY MOUNT AIRY, MD 21771 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $2K | $4K | 6.75% |
| PROSENTIAL BENEFITS LLC3 | 40 TIOGA WAY SUITE 230 MARBLEHEAD, MA 01945 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $410 | $410 | 0.74% |
| TRIBRIDGE PARTNERS LLC3 | 1 E PRATT STREET SUITE 902 BALTIMORE, MD 21202 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $2K | $8K | 15.68% |
| EBSME LLC3 | 4704 DE INVIERNO WAY MOUNT AIRY, MD 21771 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $2K | $3K | 6.75% |
| PROSENTIAL BENEFITS LLC3 | 40 TIOGA WAY SUITE 230 MARBLEHEAD, MA 01945 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $380 | $380 | 0.74% |
| FOSTER SOLTOFF & LOVE LTD3 Filed as: FOSTER SOLTOFF & LOVE | 6550 ROCK SPRING DRIVE SUITE 190 BETHESDA, MD 208171134 | VISION SERVICES PLAN | $1K | — | $1K | 3.81% |
| TRIBRIDGE PARTNERS LLC3 Filed as: TRIBRIDGE PARTNERS INC | 5280 CORPORATE DT SUITE C250 FREDERICK, MD 21703 | VISION SERVICES PLAN | $292 | — | $292 | 1.09% |
| TRIBRIDGE PARTNERS LLC3 | I E PRATT STREET SUITE 902 BALTIMORE, MD 21202 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $869 | $4K | 19.02% |
| EBSME LLC3 | 4704 DE INVIERNO WAY MOUNT AIRY, MD 21771 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $649 | $2K | 8.00% |
| PROSENTIAL BENEFITS LLC3 | 40 TIOGA WAY SUITE 230 MARBLEHEAD, MA 01945 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $145 | $145 | 0.67% |
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 | 245 | 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) | 245 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 204 | $3.4M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 99 | $161K |
| Vision | VISION SERVICES PLAN | 157 | $27K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 245 | $89K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 243 | $56K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 243 | $51K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 245 | $89K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 245 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.