Form 5500 · Employee benefit plan · WALDORF, MD
COMMUNITY BANK OF THE CHESAPEAKE
The filing calls this plan COMMUNITY BANK OF THE CHESAPEAKE INSURANCE PLAN.
COMMUNITY BANK OF THE CHESAPEAKE of WALDORF, MD is a 191-participant finance and insurance employer whose group benefits are disclosed in its annual Form 5500 filing. Its broker of record is LR WEBBER ASSOCIATES. Coverage is written through THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and 1 other carrier. The plan's most recent policy period ended in June.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 52-0692188 · plan 502 · plan year 2023, filed Jan 30, 2024
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How this plan is funded
Funding not settled by the filing
The filing does not report enough to settle how this plan pays for benefits.
Benefits declared on this filing
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.
Where a line has more than one insured contract, the carrier and the covered figure are the largest contract's by premium. The contracts are not added up: a pharmacy carve-out and the medical carrier beside it cover the same people.
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 5 insured contracts covering dental, vision, life and disability; the largest, with THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, covers 137 people.
Reported premium across the insured contracts is $152,399, with $13,415 in disclosed broker commissions — about 8.8% of premium.
The most recent policy period ended in June, and the plan year ends June 30. Group contracts typically renew on that annual cycle.
LR WEBBER ASSOCIATES is the broker of record on all 5 contracts.
Two carriers split the book: THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA and UNITED OF OMAHA LIFE INSURANCE COMPANY.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | Dental, Vision | 137 | Jul 1, 2023 | $71,081 | $3,554 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 71 | Jul 2, 2023 | $19,599 | $2,940 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 190 | Jul 2, 2023 | $28,712 | $2,871 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 190 | Jul 2, 2023 | $15,992 | $2,349 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 190 | Jul 2, 2023 | $17,015 | $1,701 |
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.
Administrator and service providers
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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