| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS | 10 NORTH PARK DR STE 200 HUNT VALLEY, MD 21030 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $22K | $49K | $71K | 8.45% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS | 10 NORTH PARK DR SUITE 200 HUNT VALLEY, MD 21030 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $8K | $23K | $31K | 10.44% |
| AP BENEFIT ADVISORS, LLC3 Filed as: AP BENEFIT ADVISORS | 10 NORTH PARK DR STE 200 HUNT VALLEY, MD 21030 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $8K | $11K | 8.11% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF SC EIN 57-0287419 PLAN ADMINISTRATION | Contract Administrator; Claims processing Service code 12 | — | $715K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 BENEFIT ADMINISTRATION | Contract Administrator; Claims processing Service code 12 | — | $90K |
| DISCOVERY BENEFITS EIN 90-0058554 ADMIN FEES | Contract Administrator; Claims processing Service code 12 | — | $26K |
| QBE INSURANCE EIN 22-2311816 PLAN ADMIN | Claims processing; Contract Administrator Service code 12 | — | $20K |
| RXBENEFITS, INC. EIN 63-1157085 RX ADMIN | Claims processing; Contract Administrator Service code 12 | — | $18K |
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 | 1,510 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 52 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,578 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,173 | $136K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,510 | $836K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 549 | $137K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,510 | $299K |
| Other | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,510 | $836K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,510 | — |
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.