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Form 5500 · Employee benefit plan · NORTH BETHESDA, MD

COFORMA LLC

The filing calls this plan COFORMA LLC EMPLOYEE BENEFITS PLAN.

COFORMA LLC of NORTH BETHESDA, MD is a 159-participant professional services employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is THE BALDWIN GROUP MID-ATLANTIC, LLC. Coverage is written through UNITEDHEALTHCARE INSURANCE COMPANY and 1 other carrier. The plan's most recent policy period ended in January.

Benefits broker of record
Policy year ends
Januaryas filed for plan year 2026

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 32-0547205 · plan 501 · plan year 2026, filed Jul 31, 2026

Get an email when this employer files a new Form 5500, and again about four months before its plan renews.

How this plan is funded

Fully insured as reported

The filing reports medical coverage through an insurance contract on Schedule A, and no money paid for benefits by the plan itself.

All participants at the start of the year
159
Active at start of year
159
Active at end of year
138
Disclosed commissions
$57,901
Typical renewal
February 1

Benefits declared on this filing

Healthinsured — UNITEDHEALTHCARE INSURANCE COMPANY148 of 159 participants (93%)
Dentalinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA162 of 159 participants
Visioninsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA162 of 159 participants
Lifeinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA162 of 159 participants
Disabilityinsured — THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA162 of 159 participants

Also declared: other welfare.

Declared benefits are the plan’s own line 8b codes on Form 5500. “Not on Schedule A” means no insured contract for that line appears on this filing. That usually means the benefit is self-funded, or it sits under a different plan number.

Persons covered is the count the carrier filed for that policy at the end of its policy year, and it can include dependents. Participants is the plan's own count at the start of its plan year. The two count different people, so a covered figure can be larger.

Plan brief

Schedule A lists 2 insured contracts covering health, dental, vision, life and disability; the largest, with UNITEDHEALTHCARE INSURANCE COMPANY, covers 148 people.

Reported premium across the insured contracts is $2,333,110, with $57,901 in disclosed broker commissions — about 2.5% of premium.

The most recent policy period ended in January, and the plan year ends January 31. Group contracts typically renew on that annual cycle.

THE BALDWIN GROUP MID-ATLANTIC, LLC is the broker of record on 1 of the 2 contracts; the rest name a different broker or none.

Two carriers split the book: UNITEDHEALTHCARE INSURANCE COMPANY and THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA.

Schedule A insurance contracts

CarrierBenefitsCoveredRenewsPremiumCommission
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICADental, Vision, Life, Disability162Feb 1, 2026$307,894$57,901
UNITEDHEALTHCARE INSURANCE COMPANYHealth148Feb 1, 2026$2,025,216$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
COFORMA LLC
EIN 32-0547205

The plan administrator is from line 3a of the main form. We publish company names only.

Other plans filed by this employer

How this plan compares

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COFORMA LLC — benefits broker, carrier, renewal date · Form5500Lookup