| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS. AGENCY OF VA | 11220 ASSETT LOOP, STE 304 MANASSAS, VA 20109 | PRINCIPAL LIFE INSURANCE COMPANY | $14K | $4K | $17K | 12.82% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS. AGENCY OF VA | 11220 ASSETT LOOP MANASSAS, VA 20109 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $118 | $2K | 15.75% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE AGENCY VA | 11220 ASSETT LOOP, STE 104 MANASSAS, VA 20109 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $456 | — | $456 | 4.15% |
| SYNERGY BENEFITS INC3 | 11220 ASSETT LOOP STE 304 MANASSAS, VA 20109 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $53 | — | $53 | 0.48% |
| BROCKMAN, WILLIAM, HENRY3 | 6308 QUEENS CHAPEL RD. UNIVERSITY PARK, MD 20782 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $50 | — | $50 | 0.46% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: EARLY CASSIDY & SCHILLING INC | 15200 OMEGA DR, STE 100 ROCKVILLE, MD 20850 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $34 | — | $34 | 0.31% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE AGENCY VA | 11220 ASSETT LOOP, STE 104 MANASSAS, VA 20109 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 14.06% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: EARLY CASSIDY & SCHILLING INC | 15200 OMEGA DR, STE 100 ROCKVILLE, MD 20850 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $76 | — | $76 | 0.80% |
| BROCKMAN, WILLIAM, HENRY3 | 6308 QUEENS CHAPEL RD UNIVERSITY PARK, MD 20782 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $35 | — | $35 | 0.37% |
| SYNERGY BENEFITS INC3 | 11220 ASSETT LOOP, STE 304 MANASSAS, VA 20109 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $24 | — | $24 | 0.25% |
| ORTWEIN, MATTHEW, MICHAEL3 | 9410 FURROW AVE ELLICOTT CITY, MD 21042 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $118 | — | $118 | 1.61% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS AGENCY OF VA | 11220 ASSETT LOOP MANASSAS, VA 20109 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $79 | — | $79 | 1.08% |
| BROCKMAN, WILLIAM, HENRY3 Filed as: BROCKMAN, WILLIAM HENRY | 530 GAITHER RD STE 350 ROCKVILLE, MD 20850 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $49 | — | $49 | 0.67% |
| DOTEN, JOHN, D3 | NEW ENGLAND FIN 036-NB 6430 ROCKLEDGE SR STE 300 BETHESDA, MD 20814 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $49 | — | $49 | 0.67% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: EARLY CASSIDY & SCHILLING, INC | 15200 OMEGA DR STE 100 ROCKVILLE, MD 20850 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $26 | — | $26 | 0.35% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS. AGENCY OF VA | 11220 ASSETT LOOP MANASSAS, VA 20109 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $186 | — | $186 | 2.62% |
| ORTWEIN, MATTHEW, MICHAEL3 | 9410 FURROW AVE ELLICOTT CITY, MD 21042 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $30 | — | $30 | 0.42% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: EARLY CASSIDY & SCHILLING INC | 15200 OMEGA DR STE 100 ROCKVILLE, MD 20850 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $18 | — | $18 | 0.25% |
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 | 128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 218 | $133K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 218 | $133K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 218 | $133K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 218 | $133K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 218 | $133K |
| Other(5 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 35 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 218 | — |
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.