| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ABD INS. AND FINANCIAL SVCS., INC.3 Filed as: NEWFRONT INSURANCE SERVICES LLC | 55 2ND STREET, 18TH FLOOR SAN FRANCISCO, CA 94105 | COMMUNITY INSURANCE COMPANY | $2K | $334 | $3K | 0.87% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 777 MARINERS ISLAND BOULEVARD SUITE 250 SAN MATEO, CA 94404 | COMMUNITY INSURANCE COMPANY | $2K | $0 | $2K | 0.74% |
| ENROLLEASE3 Filed as: ONEDIGITAL EXPRESSLINK LLC | 4200 ROCKSIDE ROAD, SUITE 103 INDEPENDENCE, OH 44131 | COMMUNITY INSURANCE COMPANY | $0 | $699 | $699 | 0.23% |
| BROKERNET INC3 | 110 NORTHWOOD BOULEVARD, SUITE C COLUMBUS, OH 43235 | COMMUNITY INSURANCE COMPANY | $0 | $398 | $398 | 0.13% |
| ABD INS. AND FINANCIAL SVCS., INC.3 Filed as: NEWFRONT INSURANCE SERVICES LLC | 55 2ND STREET, 18TH FLOOR SAN FRANCISCO, CA 94105 | ANTHEM LIFE INSURANCE COMPANY | $2K | $0 | $2K | 6.96% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 777 MARINERS ISLAND BOULEVARD SUITE 250 SAN MATEO, CA 94404 | ANTHEM LIFE INSURANCE COMPANY | $1K | $0 | $1K | 3.89% |
| ENROLLEASE3 Filed as: ONEDIGITAL EXPRESSLINK LLC | 4200 ROCKSIDE ROAD, SUITE 103 INDEPENDENCE, OH 44131 | ANTHEM LIFE INSURANCE COMPANY | $0 | $909 | $909 | 3.11% |
| BROKERNET INC3 | 110 NORTHWOOD BOULEVARD, SUITE C COLUMBUS, OH 43235 | ANTHEM LIFE INSURANCE COMPANY | $0 | $214 | $214 | 0.73% |
| ABD INS. AND FINANCIAL SVCS., INC.3 Filed as: NEWFRONT INSURANCE SERVICES LLC | 450 SANSOME STREET, SUITE 300 SAN FRANCISCO, CA 94111 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 15.01% |
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 | 123 | 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) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 52 | $299K |
| Dental | COMMUNITY INSURANCE COMPANY | 52 | $299K |
| Vision | COMMUNITY INSURANCE COMPANY | 52 | $299K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 124 | $29K |
| Short-term disability(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 124 | $42K |
| Long-term disability(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 124 | $42K |
| Prescription drug | COMMUNITY INSURANCE COMPANY | 52 | $299K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 124 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 124 | — |
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."
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.