| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| POTOMAC BASIN GROUP ASSOCIATES LLC3 | 4740 CORRIDOR PLACE SUITE B BELTSVILLE, MD 20705 | CAREFIRST BLUECHOICE, INC. | — | $28K | $28K | 2.84% |
| POTOMAC BASIN GROUP ASSOCIATES LLC3 | 4740 CORRIDOR PLACE SUITE B BELTSVILLE, MD 20705 | CAREFIRST BLUECHOICE, INC. | — | $9K | $9K | 0.92% |
| EMPLOYEE BENEFITS CORP OF AMERICA3 Filed as: EMPLOYEE BENEFITS CORPORATION OF AM | 1410 SPRING HILL ROAD SUITE 150 MCLEAN, VA 22102 | CAREFIRST BLUECHOICE, INC. | — | $2K | $2K | 0.24% |
| POTOMAC BASIN GROUP ASSOCIATES LLC3 Filed as: POTOMAC BASIN GRP ASSOC LLC | 4740 CORRIDOR PLACE BELTSVILLE, MD 20705 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $403 | $3K | 4.80% |
| EMPLOYEE BENEFIT CORP OF AMERICA3 Filed as: EMPLOYEE BNFT CORP OF AMER | 1410 SPRING HILL ROAD SUITE 150 MCLEAN, VA 22103 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $387 | $387 | 0.67% |
| SAHOURI INSURANCE AGENCY & ASSOC3 Filed as: SAHOURI INSURANCE AGENCY & | 8200 GREENSBORO DRIVE # 1550 MCLEAN, VA 22102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $349 | — | $349 | 0.60% |
| NFP INSURANCE SERVICES INC3 | 1250 SOUTH CAPITAL OF TEXAS HIGHWAY AUSTIN, TN 78746 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $96 | $96 | 0.17% |
| POTOMAC BASIN GROUP ASSOCIATES LLC3 Filed as: POTOMAC BASIN GRP ASSOC LLC | 4740 CORRIDOR PLACE BELTSVILLE, MD 20705 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $232 | $2K | 8.96% |
| SAHOURI INSURANCE AGENCY & ASSOC3 Filed as: SAHOURI INSURANCE AGENCY & | 8200 GREENSBORO DRIVE # 1550 MCLEAN, VA 22102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $440 | — | $440 | 2.44% |
| EMPLOYEE BENEFIT CORP OF AMERICA3 Filed as: EMPLOYEE BNFT CORP OF AMER | 1410 SPRING HILL ROAD SUITE 150 MCLEAN, VA 22103 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $117 | $117 | 0.65% |
| NFP INSURANCE SERVICES INC3 | 1250 SOUTH CAPITAL OF TEXAS HIGHWAY AUSTIN, TX 78746 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $53 | $53 | 0.29% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT HEREFORD | 889 A HARRISON STREET SOUTHEAST LEESBURG, VA 20175 | COMPANION LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| POTOMAC BASIN GROUP ASSOCIATES LLC3 Filed as: POTOMAC BASIN GRP ASSOC LLC | 4740 CORRIDOR PLACE BELTSVILLE, MD 20705 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $795 | $82 | $877 | 7.49% |
| SAHOURI INSURANCE AGENCY & ASSOC3 Filed as: SAHOURI INSURANCE AGENCY & | 8200 GREENSBORO DRIVE # 1550 MCLEAN, VA 22102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $342 | — | $342 | 2.92% |
| EMPLOYEE BENEFIT CORP OF AMERICA3 Filed as: EMPLOYEE BNFT CORP OF AMER | 1410 SPRING HILL ROAD SUITE 150 MCLEAN, VA 22103 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $75 | $75 | 0.64% |
| NFP INSURANCE SERVICES INC3 | 1250 SOUTH CAPITAL OF TEXAS HIGHWAY AUSTIN, TX 78746 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $18 | $18 | 0.15% |
| POTOMAC BASIN GROUP ASSOCIATES LLC3 Filed as: POTOMAC BASIN GRP ASSOC LLC | 4740 CORRIDOR PLACE BELTSVILLE, MA 20705 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $130 | $23 | $153 | 3.75% |
| SAHOURI INSURANCE AGENCY & ASSOC3 Filed as: SAHOURI INSURANCE AGENCY & | 8200 GREENSBORO DRIVE # 1550 MCLEAN, VA 22102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $74 | — | $74 | 1.81% |
| EMPLOYEE BENEFIT CORP OF AMERICA3 Filed as: EMPLOYEE BNFT CORP OF AMER | 1410 SPRING HILL ROAD SUITE 150 MCLEAN, VA 22103 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $30 | $30 | 0.74% |
| NFP INSURANCE SERVICES INC3 | 1250 SOUTH CAPITAL OF TEXAS HIGHWAY AUSTIN, TX 78746 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $5 | $5 | 0.12% |
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 | 138 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CAREFIRST BLUECHOICE, INC. | 101 | $1000K |
| Dental(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 81 | $69K |
| Vision | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 38 | $4K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 138 | $31K |
| Short-term disability | COMPANION LIFE INSURANCE COMPANY | 13 | $13K |
| Prescription drug | CAREFIRST BLUECHOICE, INC. | 101 | $1000K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 138 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 138 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.