| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED Filed as: BOLTON PARTNERS | 1 W. PENNSYLVANIA AVE TOWSON, MD 21204 | ULLICO | $6K | $4K | $10K | 8.64% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CARDAY ASSOCIATES EIN 53-0257019 NONE | Contract Administrator; Direct payment from the plan Service code 13 | 7130 COLUMBIA GATEWAY DR, SUITE A COLUMBIA, MD 21046 | $128K |
| DLA PIPER LLP NONE | Legal; Direct payment from the plan Service code 29 | 500 EIGHTH STREET, NW WASHINGTON, DC 20004 | $94K |
| NOVAK FRANCELLA, LLC EIN 61-1436956 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $18K |
| BOLTON PARTNERS NONE | Direct payment from the plan; Actuarial Service code 11 | 100 LIGHT STREET, 9TH FLOOR BALTIMORE, MD 21202 | $14K |
| AMERICAN HEALTH HOLDING, INC. NONE | Direct payment from the plan; Other fees Service code 50 | 7400 W CAMPUS RD F510 NEW ALBANY, OH 43054 | $8K |
| NCAS ADMINISTRATORS NONE | Contract Administrator; Direct payment from the plan Service code 13 | 3928 PENDER DRIVE FAIRFAX, VA 22030 | $6K |
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 | 101 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | ULLICO | 105 | $120K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 105 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.