| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON PARTNERS, INC. | 36 S. CHARLES ST, SUITE 1000 BALTIMORE, MD 21201 | ULLICO LABOR LIFE INSURANCE COMPANY | $8K | $18K | $26K | 4.94% |
| NATIONAL CAPITAL INSURANCE AGENCY3 | 10455 MILL RUN CIRCLE OWINGS MILLS, MD 21117 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $3K | $2K | $5K | 4.07% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CAREFIRST BLUECROSS BLUESHIELD EIN 52-1385894 NONE | Direct payment from the plan; Other fees; Claims processing Service code 12 | — | $265K |
| ROSANNA CAVANAUGH EIN 52-6048847 PLAN EMPLOYEE | Employee (plan) Service code 30 | — | $62K |
| HILL MANAGEMENT SERVICES NONE | Other services Service code 49 | PO BOX 4835 TIMONIUM, MD 21094 | $49K |
| HEALTHCARE STRATEGIES EIN 52-1874471 NONE | Other services Service code 49 | — | $47K |
| TAMMY PATTON EIN 52-6048847 PLAN EMPLOYEE | Employee (plan) Service code 30 | — | $44K |
| LISA SHUEY EIN 52-6048847 PLAN EMPLOYEE | Employee (plan) Service code 30 | — | $43K |
| SABRINA CALVERT EIN 52-6048847 PLAN EMPLOYEE | Employee (plan) Service code 30 | — | $43K |
| STEPHANIE FORBES EIN 52-6048847 PLAN EMPLOYEE | Employee (plan) Service code 30 | — | $43K |
| BRIDGEWAY BENEFIT TECHNOLOGIES, LLC EIN 52-1796473 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $37K |
| PITNEY BOWES NONE | Other services Service code 49 | PO BOX 371874 PITTSBURGH, PA 15250 | $37K |
| CALIBRE CPA GROUP, PLLC EIN 47-0900880 NONE | Accounting (including auditing) Service code 10 | — | $34K |
| BOLTON PARTNERS, INC EIN 52-1231144 NONE | Actuarial Service code 11 | — | $32K |
| ABATO, RUBENSTEIN & ABATO EIN 52-0904713 NONE | Legal Service code 29 | — | $16K |
| REYNOLDS CONSULTING SERVICES, LLC EIN 20-1899564 NONE | Investment advisory (plan) Service code 27 | — | $15K |
| PAVSNER PRESS NONE | Copying and duplicating Service code 36 | 9008 YELLOW BRICK ROAD BALTIMORE, MD 21237 | $13K |
| WILMINGTON TRUST EIN 16-1486454 NONE | Float revenue; Custodial (securities) Service code 19 | — | $3K |
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 | 1,704 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,711 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 1,556 | $130K |
| Long-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 1,556 | $130K |
| Stop-loss / reinsurancereinsurance | ULLICO LABOR LIFE INSURANCE COMPANY | 1,667 | $523K |
| Other | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 1,556 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,667 | — |
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."
No prospect flags tripped on this filing.