| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 11350 MCCORMICK ROAD, STE 120 HUNT VALLEY, MD 21031 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $0 | $1K | $1K | 0.20% |
| GROUP BENEFIT SERVICES INC3 Filed as: GROUP BENEFIT SERVICES, INC. | 6 NORTH PARK DRIVE, SUITE 310 HUNT VALLEY, MD 21030 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $0 | $42 | $42 | 0.01% |
| USI INSURANCE SERVICES LLC3 | 11350 MCCORMICK ROAD HUNT VALLEY, MD 21031 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $0 | $1K | $1K | 1.48% |
| GROUP BENEFIT SERVICES INC3 Filed as: GROUP BENEFIT SERVICES, INC. | 6 NORTH PARK DRIVE, SUITE 310 HUNT VALLEY, MD 21030 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $0 | $4 | $4 | 0.00% |
| USI INSURANCE SERVICES LLC3 | PO BOX 60119 VIRGINIA BEACH, VA 23466 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $1K | $465 | $2K | 3.33% |
| USI INSURANCE SERVICES LLC3 | 3190 FAIRVIEW PARK, STE 400 FALLS CHURCH, VA 22042 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $886 | $6K | 11.34% |
| USI INSURANCE SERVICES LLC3 | 11350 MCCORMICK ROAD, STE 120 HUNT VALLEY, MD 21031 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $0 | $1K | $1K | 5.64% |
| GROUP BENEFIT SERVICES INC3 Filed as: GROUP BENEFIT SERVICES, INC. | 6 NORTH PARK DRIVE, SUITE 310 HUNT VALLEY, MD 21030 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $0 | $1 | $1 | 0.00% |
| USI INSURANCE SERVICES LLC4 | 3190 FAIRVIEW PARK, STE 400 FALLS CHURCH, VA 22042 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $364 | $40 | $404 | 18.63% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INDEPENDENT FIDUCIARY SERVICES, LLC EIN 82-2870895 TRUSTEE | Trustee (directed) Service code 25 | 8460 TYCO ROAD, SUITE E VIENNA, VA 22182 | $24K |
| BOON ADMINISTRATIVE SERVICES EIN 33-0449333 THIRD PARTY ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $24K |
| CITRIN COOPERMAN & COMPANY LLP EIN 22-2428965 AUDITOR | Accounting (including auditing) Service code 10 | 2 BETHESDA METRO CENTER, 11TH FLOOR BETHESDA, MD 20814 | $19K |
| INTEGRATED HR SOLUTIONS, LLC EIN 20-2249765 ONLINE BENEFITS ADMIN | Contract Administrator Service code 13 | 2901 CORPORATE CIRCLE 100 FLOWER MOUND, TX 75028 | $13K |
| RUBINO & COMPANY CHARTERED EIN 52-1186096 AUDITOR | Accounting (including auditing) Service code 10 | 6903 ROCKLEDGE DRIVE, SUITE 1200 BETHESDA, MD 20817 | $8K |
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 | 195 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | 107 | $747K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 130 | $50K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 130 | $50K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 195 | $51K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 195 | $49K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 195 | $49K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 195 | $72K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.