| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL SAULNY3 | 4397 ST. MICHAELS DR. LILBURN, GA 30047 | HARTFORD LIFE AND ACCIDENT | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES EIN 35-0781558 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Float revenue Service code 12 | — | $502K |
| CONIFER VALUE-BASED CARE, LLC NONE | Participant communication Service code 38 | 1596 WHITEHALL RD. ANNAPOLIS, MD 21409 | $275K |
| SLEVIN AND HART EIN 52-1708613 NONE | Legal Service code 29 | — | $133K |
| REINHART, BOERNER, VAN DEUREN EIN 39-1126909 NONE | Legal Service code 29 | — | $115K |
| TIC INTERNATIONAL EIN 13-2600875 NONE | Consulting (general) Service code 16 | — | $98K |
| MILLIMAN, INC EIN 91-0675641 NONE | Actuarial Service code 11 | — | $98K |
| CARDAY AND ASSOCIATES NONE | Contract Administrator Service code 13 | 7130 COLUMBIA GATEWAY DR SUITE A COLUMBIA, MD 21046 | $95K |
| CATANA FIELDS EIN 55-0393244 NONE | Employee (plan) Service code 30 | — | $32K |
| NANCY DUFF EIN 55-0393244 NONE | Employee (plan) Service code 30 | — | $31K |
| PATRICIA PETTRY EIN 55-0393244 NONE | Employee (plan) Service code 30 | — | $30K |
| CAROLE BEALS EIN 55-0393244 NONE | Employee (plan) Service code 30 | — | $29K |
| KIMBERLY ROGERS EIN 55-0393244 NONE | Employee (plan) Service code 30 | — | $29K |
| DENNIS G. JENKINS,CPA, LLC EIN 20-5886120 NONE | Accounting (including auditing) Service code 10 | — | $17K |
| UNITED ACTUARIAL EIN 35-2156428 NONE | Actuarial Service code 11 | — | $9K |
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 | 1,892 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 570 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,462 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC | 2,006 | $0 |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 0 | $0 |
| Other | HARTFORD LIFE AND ACCIDENT | 0 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,006 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.