| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PSA INSURANCE & FINANCIAL PARTNERS3 | 11311 MCCORMICK RD, SUITE 500 HUNT VALLEY, MD 210318622 | CIGN HEALTH AND LIFE INSURANCE COMPANY | $163K | — | $163K | 14.07% |
| PSA INSURANCE & FINANCIAL PARTNERS3 | 11311 MCCORMICK RD, SUITE 500 HUNT VALLEY, MD 210318622 | THE LINCOLN NATIONAL LIFE INSURANCE CO | $61K | $15K | $75K | 18.57% |
| BENEFIT ADVISORS SVCS GRP LLC3 | 1125 SANCTUARY PKWY SUITE 300 ALPHARETTA, GA 30009 | THE LINCOLN NATIONAL LIFE INSURANCE CO | $8K | — | $8K | 2.00% |
| PSA INSURANCE & FINANCIAL PARTNERS3 | 11311 MCCORMICK RD, SUITE 500 HUNT VALLEY, MD 210318622 | THE LINCOLN NATIONAL LIFE INSURANCE CO | $41K | $9K | $49K | 18.22% |
| BENEFIT ADVISORS SVCS GRP LLC3 | 1125 SANCTUARY PKWY SUITE 300 ALPHARETTA, GA 30009 | THE LINCOLN NATIONAL LIFE INSURANCE CO | $5K | — | $5K | 2.00% |
| PSA INSURANCE & FINANCIAL PARTNERS3 | 11311 MCCORMICK RD, SUITE 500 HUNT VALLEY, MD 210318622 | THE LINCOLN NATIONAL LIFE INSURANCE CO | $36K | $7K | $44K | 18.07% |
| BENEFIT ADVISORS SVCS GRP LLC3 | 1125 SANCTUARY PKWY SUITE 300 ALPHARETTA, GA 30009 | THE LINCOLN NATIONAL LIFE INSURANCE CO | $5K | — | $5K | 2.00% |
| PSA INSURANCE & FINANCIAL PARTNERS3 | 11311 MCCORMICK RD, SUITE 500 HUNT VALLEY, MD 210318622 | VISION SERVICE PLAN | $6K | — | $6K | 5.31% |
| PSA INSURANCE & FINANCIAL PARTNERS3 | 11311 MCCORMICK RD, SUITE 500 HUNT VALLEY, MD 210318622 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 12.22% |
| PSA INSURANCE & FINANCIAL PARTNERS3 | 11311 MCCORMICK RD, SUITE 500 HUNT VALLEY, MD 210318622 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $230 | — | $230 | 4.81% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA EIN 59-1031071 CLAIMS PROCESSOR | Non-monetary compensation; Contract Administrator; Claims processing; Named fiduciary; Direct payment from the plan; Participant communication; Other services Service code 12 | — | $850K |
| PNC BANK NA EIN 25-1211909 INVESTMENT MANAGER | Investment management fees paid directly by plan Service code 51 | — | $71K |
| CIGNA DENTAL EIN 59-1031071 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $54K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 ACCOUNTANT | Accounting (including auditing) Service code 10 | — | $42K |
| VSP EIN 23-7089668 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $25K |
| TASC CLIENT SERVICES EIN 39-1561025 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $20K |
| CONDUENT HR CONSULTING LLC EIN 13-3954297 ACTUARY | Actuarial Service code 11 | — | $7K |
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 | 739 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 100 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 839 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGN HEALTH AND LIFE INSURANCE COMPANY | 1,480 | $1.2M |
| Vision | VISION SERVICE PLAN | 689 | $114K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE CO | 737 | $406K |
| Long-term disability(3 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE CO | 675 | $289K |
| Prescription drug | CIGN HEALTH AND LIFE INSURANCE COMPANY | 1,480 | $1.2M |
| Stop-loss / reinsurancereinsurance | CIGN HEALTH AND LIFE INSURANCE COMPANY | 1,480 | $1.2M |
| Other(3 contracts, 2 carriers) | CIGN HEALTH AND LIFE INSURANCE COMPANY | 1,480 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,480 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.