| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ED CHICOSKI Filed as: CHICOSKI EDWARD | PO BOX 670 NEW HARTFORD CT, CT 06057 | HARTFORD LIFE AND ACCIDENT | — | $3K | $3K | 7.06% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CARDAY ASSOCIATES, INC. EIN 53-0257019 NONE | Contract Administrator; Direct payment from the plan Service code 13 | 7130 COLUMBIA GATEWAY DR, SUITE A COLUMBIA, MD 21046 | $147K |
| CIGNA HEALTHCARE EIN 23-1503749 CLAIMS ADMINISTRATOR | Contract Administrator; Direct payment from the plan; Other services; Claims processing; Non-monetary compensation; Participant communication; Float revenue Service code 12 | 10490 LITTLE PATUXENT PARKWAY COLUMBIA, MD 21044 | $72K |
| COLUMBIA PARTNERS INVESTMENT EIN 52-1940739 NONE | Direct payment from the plan; Investment management Service code 28 | 5425 WISCONSIN AVENUE, SUITE 700 CHEVY CHASE, MD 20815 | $28K |
| MERANZE AND KATZ EIN 23-2943773 NONE | Legal; Direct payment from the plan Service code 29 | 121 SOUTH BROAD STREET, 13TH FLOOR PHILADELPHIA, PA 19107 | $22K |
| MCKEOGH COMPANY EIN 23-3003375 NONE | Actuarial; Direct payment from the plan Service code 11 | 200 BARR HARBOR DRIVE WEST CONSHOHOCKEN, PA 19428 | $12K |
| SALTER & COMPANY, LLC EIN 20-8078757 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | 4600 EAST WEST HIGHWAY, SUITE 300 BETHESDA, MD 20814 | $11K |
| INVESTMENT PERFORMANCE SERVICES EIN 58-2432390 NONE | Direct payment from the plan; Consulting (general) Service code 16 | 12 PENNS TRAIL, SUITE 132 NEWTON, PA 18940 | $5K |
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 | 116 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 78 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 194 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.