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Sponsor portfolioWelfare / HealthEIN 52-0797293

FORM SERVICES INC.

3119 HAMMONDS FERRY RD · BALTIMORE, MD 21227
4102479500
Plans filed
1
Years active
2023–2025
Industry
NAICS 53
Latest filing
2025
Total premiums (latest)
$105K
No prior year
Persons covered
106
No prior year
Total participants
107
No prior year
Plans filed
1
No prior year

Plans under this sponsor

1 plan
Plan #503$105K
FORM SERVICES, INC. EMPLOYEE BENEFIT PLAN
Mixed106 covered·1 carrier
Primary: GUARDIAN

Coverage overview

Aggregate, latest year
Benefit typePremiumShareDistribution
Dental$105K25.0%
Life$105K25.0%
Long-term disability$105K25.0%
Other$105K25.0%

Carrier overview

1 carrier · all plans
CarrierCoverageTotal premiumSharePlansContractsCovered
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA
EIN 135123390
DLLTDOth
$105K100.0%11106

Broker overview

2 brokers · all plans
BrokerLocCarriersCommissionsFeesTotal compSharePlans
THE CAPITAL GROUP LLCTOWSON, MDGUARDIAN$12K$0$12K68.6%1
M W E SOLUTIONS, INC.MILLERSVILLE, MDGUARDIAN$6K$0$6K31.4%1

History & trajectory

3 years · all plans
Total premiums
Summed across all plans for this sponsor.
Persons covered
EOY headcount summed across all plans.
Carrier mix
Premium by top carriers, summed across plans.
Broker compensation
Comp by top brokers, summed across plans.

Policy details

Latest year, by plan
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