| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOWARD M SOLTOFF3 | 6550 ROCK SPRING DRIVE SUITE 190 BETHESDA, MD 20817 | HUMANA INSURANCE COMPANY | $7K | — | $7K | 9.90% |
| TRIBRIDGE PARTNERS LLC3 | 5216 CHAIRMANS COURT SUITE 101 FREDERICK, MD 21703 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $883 | — | $883 | 12.95% |
| EBSMC LLC3 | 4704 DE INVIERNO WAY MOUNT AIRY, MD 21771 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $207 | $205 | $412 | 6.04% |
| TRIBRIDGE PARTNERS LLC3 | 5216 CHAIRMANS COURT SUITE 101 FREDERICK, MD 21703 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $368 | — | $368 | 12.93% |
| EBSMC LLC3 | 4704 DE INVIERNO WAY MOUNT AIRY, MD 21771 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $87 | $85 | $172 | 6.04% |
No Schedule C service providers reported on this filing.
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 | 211 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 211 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HUMANA INSURANCE COMPANY | 55 | $73K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 211 | $3K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 211 | $7K |
| Stop-loss / reinsurancereinsurance | AETNA LIFE INSURANCE COMPANY | 178 | $191K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 211 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 211 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.