| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | UNKNOWN VIENNA, VA 22182 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $23K | $0 | $23K | 4.44% |
| JACOB SILVERMAN3 | 1061 THOMAS KNAPP PARKWAY FORT MILL, SC 29715 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $12K | $0 | $12K | 2.44% |
| BROWN AND BROWN OF FLORIDA, INC.3 | 2290 LUCIEN WAY, SUITE 400 MAITLAND, FL 32751 | DELTA DENTAL OF VIRGINIA | $7K | $0 | $7K | 5.80% |
| JACOB SILVERMAN3 | 1061 THOMAS KNAPP PARKWAY FORT MILL, SC 29715 | DELTA DENTAL OF VIRGINIA | $1K | $0 | $1K | 1.20% |
| JEANENE MOTSCO3 | 15612 LINDEN GROVE LANE WOODBINE, MD 21797 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10K | $3K | $13K | 11.52% |
| ELENA BOTELLO COLEMAN3 | 7312 YATES COURT MCLEAN, VA 22101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $11K | $1K | $12K | 10.78% |
| BROWN AND BROWN OF FLORIDA, INC.3 | 2290 LUCIEN WAY, SUITE 400 MAITLAND, FL 32751 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9K | $2K | $11K | 9.33% |
| JACOB SILVERMAN3 Filed as: JACOB OSCAR SILVERMAN | 1061 THOMAS KNAPP PARKWAY FORT MILL, SC 29715 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $8K | $0 | $8K | 7.12% |
| JEFFREY MOTSCO3 | 15612 LINDEN GROVE LANE WOODBINE, MD 21797 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $2K | $8K | 6.73% |
| ANN MARIE BENT3 | 7551 ORCHID HAMMOCK DRIVE WEST PALM BEACH, FL 33412 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $520 | $0 | $520 | 0.45% |
| MJ INSURANCE3 Filed as: COLLEEN R. LIND AND VARIOUS AGENTS | 8 HARPOON ROAD OCEAN PINES, MD 21811 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $235 | $1 | $236 | 0.20% |
| JEANENE MOTSCO3 | 15612 LINDEN GROVE LANE WOODBINE, MD 21797 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $2K | $8K | 13.91% |
| ELENA BOTELLO COLEMAN3 | 7312 YATES COURT MCLEAN, VA 22101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $599 | $5K | 9.10% |
| BROWN AND BROWN OF FLORIDA, INC.3 | 2290 LUCIEN WAY, SUITE 400 MAITLAND, FL 32751 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $926 | $5K | 8.64% |
| JACOB SILVERMAN3 Filed as: JACOB OSCAR SILVERMAN | 1061 THOMAS KNAPP PARKWAY FORT MILL, SC 29715 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $0 | $5K | 7.88% |
| JEFFREY MOTSCO3 | 15612 LINDEN GROVE LANE WOODBINE, MD 21797 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $1K | $5K | 7.83% |
| ELAINE COX3 Filed as: ELAINE MCCLELLAND | 4312 GRANADA STREET ALEXANDRIA, VA 22309 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $68 | $2K | 2.71% |
| MJ INSURANCE3 Filed as: ANN MARIE BENT AND VARIOUS AGENTS | 7551 ORCHID HAMMOCK DRIVE WEST PALM BEACH, FL 33412 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $3 | $1K | 1.78% |
| BROWN AND BROWN OF FLORIDA, INC.3 | 2290 LUCIEN WAY, SUITE 400 MAITLAND, FL 32751 | VISION SERVICE PLAN | $811 | $0 | $811 | 6.30% |
| JACOB SILVERMAN3 | 1061 THOMAS KNAPP PARKWAY FORT MILL, SC 29715 | VISION SERVICE PLAN | $111 | $0 | $111 | 0.86% |
| EMPLOYEE NAVIGATOR, LLC3 | 7979 OLD GEORGETOWN ROAD, SUITE 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $6 | $0 | $6 | 0.05% |
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 | 134 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 134 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 184 | $508K |
| Dental | DELTA DENTAL OF VIRGINIA | 333 | $121K |
| Vision | VISION SERVICE PLAN | 141 | $13K |
| Life insurance | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 58 | $59K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 58 | $115K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 134 | $0 |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 184 | $508K |
| Other(2 contracts) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 58 | $175K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 333 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.