| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIAM DAVID WEINER3 | 13951 N SCOTTSDALE ROAD SUITE 131 SCOTTSDALE, AZ 85254 | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | $39K | — | $39K | 3.02% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES (SE) INC | 1901 ROXBOROUGH RD STE 300 CHARLOTTE, NC 28211 | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | $5K | $17K | $23K | 1.75% |
| POTOMAC BASIN GROUP ASSOC LLC5 | 4740 CORRRIDOR PLACE SUITE B BELTSVILLE, MD 20705 | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | $0 | $9K | $9K | 0.70% |
| WEINER INSURANCE, INC.3 Filed as: WEINER INSURANCE INC | — | DELTA DENTAL INSURANCE COMPANY | $4K | — | $4K | 6.48% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES (SE) INC | — | DELTA DENTAL INSURANCE COMPANY | $2K | — | $2K | 3.70% |
| WEINER INSURANCE, INC.3 Filed as: WEINER INSURANCE INC | 13951N SCOTTSDALE RD STE 122 SCOTTSDALE, AZ 852543454 | VISION SERVICE PLAN | $571 | — | $571 | 5.14% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES (SE) INC | 1901 ROXBOROUGH RD STE 300 CHARLOTTE, NC 28211 | VISION SERVICE PLAN | $503 | — | $503 | 4.53% |
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 | 98 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | 157 | $1.3M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 152 | $66K |
| Vision | VISION SERVICE PLAN | 89 | $11K |
| Prescription drug | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | 157 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 157 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.