| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MELTZER GROUP, INC. | 6500 ROCK SPRING DRIVE SUITE 5 BETHESDA, MD 20817 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $51K | $1K | $52K | 3.14% |
| POTOMAC BASIN GROUP3 | 4740 CORRIDOR PLACE SUITE B BELTSVILLE, MD 20705 | UNITEDHEALTHCARE INSURANCE COMPANY | $56K | — | $56K | 8.50% |
| POTOMAC BASIN GROUP ASSOCIATES LLC3 Filed as: POTOMAC BASIN GROUP ASSOCIATION LLC | 4740 CORRIDOR PLACE SUITE B BELTSVILLE, MD 20705 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $697 | $3K | 3.12% |
| ANDREA ALAMA SMITH3 | 8280 RUSH STREET APT D ROSEMEAD, CA 91770 | AFLAC | $746 | $84 | $830 | 3.71% |
| CARLOS ENRIQUEZ INS. SERVICES CORP.3 Filed as: CARLOS ENRIQUEZ INSURANCE SERVICES | 6167 BRISTOL PARKWAY SUITE 106 CULVER CITY, CA 90230 | AFLAC | $311 | $5 | $316 | 1.41% |
| JESSICA PEREZ3 | 11835 W OLYMPIC BOULEVARD SUITE 795E LOS ANGELES, CA 90064 | AFLAC | $254 | — | $254 | 1.14% |
| RICHARD C BIGUM3 | 6765 CACTUS LANE LAVERNE, CA 91750 | AFLAC | $221 | — | $221 | 0.99% |
| SANDY J RYAN3 | PO BOX 67 LOVETTSVILLE, VA 20180 | AFLAC | $163 | $31 | $194 | 0.87% |
| MONA MARCOS3 | 6765 CACTUS LANE LAVERNE, CA 91750 | AFLAC | $150 | — | $150 | 0.67% |
| ANDREA DOROTHY ALAMA-SMITH3 | 1730W CAMERON AVENUE SUITE 200 WEST COVINA, CA 91790 | AFLAC | $121 | — | $121 | 0.54% |
| ROBERT A MOORE3 | 5120 W GOLDLEAF CIRCLE SUITE 150 LOS ANGELES, CA 90058 | AFLAC | $114 | — | $114 | 0.51% |
| CHRISTINE M. SEKAS3 Filed as: CHRISTINE M SEKAS | 80 WEST SIERRA MADRE BOULEVARD SUITE 398 SIERRA MADRE, CA 91024 | AFLAC | $111 | — | $111 | 0.50% |
| ANTHONY M. MENDOZA3 Filed as: ANTHONY M MENDOZA | 1 S FAIR OAKS AVENUE SUITE 200 PASADENA, CA 91105 | AFLAC | $67 | — | $67 | 0.30% |
| ADAM H MICHAELS3 | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $48 | — | $48 | 0.21% |
| SBHU LIFE AGENCY, INC.3 Filed as: SBHU LIFE AGENCY INC | 200 HUDSON STREET SUITE 201 JERSEY CITY, NJ 07311 | AFLAC | $45 | — | $45 | 0.20% |
| ANTHONY M. MENDOZA3 Filed as: ANTHONY M MENDOZA | 50 W LEMON AVENUE APT B MONROVIA, CA 91016 | AFLAC | $42 | — | $42 | 0.19% |
| INSURANCE MARKET PLACE INC3 | 4401 FAIR LAKES COURT SUITE 304 FAIRFAX, VA 22033 | AFLAC | $34 | $6 | $40 | 0.18% |
| MICHAEL J LENEVEU3 Filed as: MICHAEL JASON SILVER | 12304 ROCHESTER AVENUE APT 2 LOS ANGELES, CA 90025 | AFLAC | $38 | — | $38 | 0.17% |
| TRENA R KNIGHT3 | 6167 BRISTOL PARKWAY SUITE 106 CULVER CITY, CA 90230 | AFLAC | $37 | — | $37 | 0.17% |
| DOLANN A KNOX3 | 4407 PRESIDIO DRIVE APT B VIEW PARK, CA 90008 | AFLAC | $34 | — | $34 | 0.15% |
| JOSEPH A BUZZELLO3 | 9018 BALBOA BOULEVARD SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $27 | — | $27 | 0.12% |
| DIVYA JAIN3 | 4401 FAIR LAKES COURT SUITE 304 FAIRFAX, VA 22033 | AFLAC | $20 | $6 | $26 | 0.12% |
| GEOFFREY MALAIS3 | 16800 DEVONSHIRE STREET SUITE 220 GRANDA HILLS, CA 91344 | AFLAC | $26 | — | $26 | 0.12% |
| BILL DAWSON3 | 7824 KENTWOOD AVENUE LOS ANGELES, CA 90045 | AFLAC | $23 | — | $23 | 0.10% |
| CARLOS F ENRIQUEZ3 Filed as: CARLOS ENRIQUEZ | 5120 W GOLDLEAD CIRCLE SUITE 160 LOS ANGELES, CA 90056 | AFLAC | $16 | $6 | $22 | 0.10% |
| ARLICE C. MARSHALL3 Filed as: ARLICE C MARSHALL | 14737 BELLFLOWER BOULEVARD SUITE 4 BELLFLOWER, CA 90706 | AFLAC | $20 | — | $20 | 0.09% |
| ABEL BARSEGYAN3 | 730 S MARYLAND AVENUE APT 2 GLENDALE, CA 91205 | AFLAC | $19 | — | $19 | 0.08% |
| INSURANCE MARKETPLACE LLC3 | 11350 RANDOM HILL RD SUITE 863 FAIRFAX, VA 22030 | AFLAC | $15 | — | $15 | 0.07% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVENUE LOS ANGELES, CA 90045 | AFLAC | $14 | — | $14 | 0.06% |
| ROBERT CAVALERI3 | 11350 MOORE DRIVE MANASSAS, VA 20111 | AFLAC | $13 | — | $13 | 0.06% |
| KANDI M MCINTYRE3 | 2000 MALLORY LANE SUITE 130-378 FRANKLIN, TN 37067 | AFLAC | $9 | — | $9 | 0.04% |
| BENJAMIN KLINGER3 | 5503 SPRUCE TREE AVENUE BETHESDA, DC 20814 | AFLAC | $8 | — | $8 | 0.04% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK STREET SUITE 625 CHICAGO IL, IL 60654 | AFLAC | $7 | — | $7 | 0.03% |
| DAVID MORNINGSTAR3 | 4281 BUCKSKIN WOOD DRIVE ELLICOTT CITY, MD 21042 | AFLAC | $7 | — | $7 | 0.03% |
| JERMY HOELKER3 | 10400 EATON PLACE SUITE 400 FAIRFAX, VA 22030 | AFLAC | $6 | — | $6 | 0.03% |
| ALBERTO T HANN3 | 5120 W GOLDLEAF CIRCLE SUITE 60 LOS ANGELES, CA 90056 | AFLAC | $5 | — | $5 | 0.02% |
| OLENA K SHEA3 | 3 MITCHELL PLACE UNIT 18C NEW YORK, NY 10017 | AFLAC | $4 | — | $4 | 0.02% |
| MICHAEL R. FISHER3 Filed as: MICHAEL R FISHER | 50 W LEMON AVENUE SUITE 2 MONROVIACA, CA 91016 | AFLAC | $3 | — | $3 | 0.01% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK STREET SUITE 615 CHICAGO, IL 60654 | AFLAC | $3 | — | $3 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH H WILLIS JR | 1431 NE 55TH STREET FORTH LAUDERDALE, FL 33334 | AFLAC | $2 | — | $2 | 0.01% |
| LARA K GRANDE3 | 117 MORNING MIST LANE FRANKLIN, TN 37064 | AFLAC | $2 | — | $2 | 0.01% |
| JEREMY A FELDMAN3 | 15324 SWEETBAY STREET WOODBINE, MD 21797 | AFLAC | $2 | — | $2 | 0.01% |
| JOSEPH A NASCA3 | 28081 W MAPLE AVENUE BARRINGTON, IL 50010 | AFLAC | $1 | — | $1 | 0.00% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DRIVE WALNUT CREEK, CA 94598 | AFLAC | $1 | — | $1 | 0.00% |
| KELLY LYNN FELDMAN3 | 15324 SWEETBAY STREET WOODBINE, MD 21797 | AFLAC | $1 | — | $1 | 0.00% |
| JOSEPH A BUZZELLO3 | 9018 BALBA BOULEVARD SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $1 | — | $1 | 0.00% |
| DAVID J MCCLELLAN3 Filed as: DAVID J WAGENHEIM | 582 WOODBINE AVENUE TOWSON, MD 21204 | AFLAC | $1 | — | $1 | 0.00% |
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 | 423 | 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) | 423 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 312 | $2.3M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 123 | $1.6M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 123 | $1.6M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 126 | $91K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 126 | $113K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 126 | $91K |
| Other(3 contracts, 3 carriers) | ON CALL INTERNATIONAL | 223 | $230K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 312 | — |
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.