No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDICAL MUTUAL SERVICES EIN 34-1922587 NONE | Contract Administrator; Direct payment from the plan Service code 13 | 2060 EAST 9TH STREET CLEVELAND, OH 44115 | $122K |
| CONNIE SHEPHERD EIN 34-1281408 EMPLOYEE | Direct payment from the plan; Contract Administrator; Employee (plan) Service code 13 | 187 WOODLAWN AVENUE NORWALK, OH 44857 | $57K |
| ALLOTTA, FARLEY & CO., LPA EIN 34-1316963 NONE | Legal; Direct payment from the plan Service code 29 | 2222 CENTENNIAL ROAD TOLEDO, OH 43617 | $27K |
| PAYNE NICKLES & CO. EIN 34-1664586 NONE | Accounting (including auditing); Investment management fees paid directly by plan Service code 10 | 257 BENEDICT AVE, BLDG D NORWALK, OH 44857 | $20K |
| FINDLEY DAVIES, INC. EIN 34-1213174 NONE | Actuarial; Direct payment from the plan Service code 11 | 1300 EAST 9TH STREET CLEVELAND, OH 44114 | $18K |
| HYLANT GROUP EIN 34-1588797 NONE | Consulting (general); Direct payment from the plan; Consulting fees Service code 16 | P.O. BOX 318087 CLEVELAND, OH 44131 | $18K |
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 | 229 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 142 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 18 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 389 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | MEDICAL MUTUAL OF OHIO | 921 | $187K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 921 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.