| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JEANENE MOTSCO3 | 5965 SANDY RIDGE ELKRIDGE, MD 21075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $272 | $4K | 5.82% |
| ROBERT DOOLEY3 | 24 COMMERCE STREET BALTIMORE, MD 21060 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $0 | $3K | 4.53% |
| JEFFREY MOTSCO3 | 5964 SANDY RIDGE ELKRIDGE, MD 21075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $124 | $2K | 2.93% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ASSOCIATED ADMINISTRATORS LLC EIN 52-0940029 NONE | Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $1.6M |
| ANTHEM HEALTH PLANS OF VA EIN 54-0357120 NONE | Other services; Direct payment from the plan; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator Service code 12 | — | $972K |
| SLEVIN & HART PC EIN 52-1708613 NONE | Legal; Direct payment from the plan Service code 29 | — | $512K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $346K |
| CONIFER VALUE BASED CARE LLC EIN 52-1964905 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance services Service code 15 | — | $289K |
| MORGAN LEWIS & BOCKIUS LLP EIN 23-0891050 NONE | Legal; Direct payment from the plan Service code 29 | — | $285K |
| CAREFIRST EIN 52-1385894 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $93K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $82K |
| BOND BEEBE PC EIN 52-1044197 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $30K |
| WITHUMSMITH&BROWN EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $17K |
| INFOCUS ADVISORS, LLC NONE | Legal; Direct payment from the plan Service code 29 | 327 TILGHMAN RD. SUITE 100 SALISBURY, MD 21804 | $13K |
| CHEIRON EIN 13-4215617 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $10K |
| A & G HEALTHCARE SERVICES EIN 75-2738490 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $7K |
| SEGALL BRYANT & HAMILL EIN 41-1788385 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $4K |
| PNC EIN 22-3470537 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $2K |
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 | 4,911 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 477 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,388 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | GROUP DENTAL SERVICE OF MARYLAND, INC. | 6,393 | $1.7M |
| Vision | FIDELITY SECURITY LIFE INSURANCE | 7,878 | $267K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 4,921 | $318K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 4,921 | $318K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,878 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.