| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 195 SCOTT SWAMP ROAD SUITE 201 FARMINGTON, CT 06032 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 8.78% |
| HUNTINGTON INSURANCE - MILLERSBURG3 Filed as: HUNTINGTON INSURANCE COMPANY | 121 NORTH MARKET STREET SUITE 600 WOOSTER, OH 44691 | AFLAC | $2K | $0 | $2K | 13.08% |
| MICKLEY CONSULTING LLC3 | 1103 SCHROCK ROAD SUITE 201 COLUMBUS, OH 43229 | AFLAC | $1K | $56 | $2K | 10.35% |
| HENSLEY AND ASSOCIATES LLC3 | 1103 SCHROCK ROAD SUITE 201 COLUMBUS, OH 43229 | AFLAC | $603 | $0 | $603 | 4.11% |
| MJ INSURANCE3 Filed as: KEITH FRIZZELL AND VARIOUS AGENTS | 1795 ALYSHEBA WAY SUITE 1204 LEXINGTON, KY 40509 | AFLAC | $172 | $23 | $195 | 1.33% |
| JAMES A BURRESS3 | 6418 FAYBOROUGH COURT DUBLIN, OH 43016 | AFLAC | $115 | $0 | $115 | 0.78% |
| ROBERT P HARE3 | 470 OLDE WORTHINGTON RD SUITE 250 WESTERVILLE, OH 43082 | AFLAC | $51 | $0 | $51 | 0.35% |
| THOMAS ALEX SHEVLOT3 | 7326 ELM RIDGE DRIVE INDIANAPOLIS, IN 46236 | AFLAC | $42 | $0 | $42 | 0.29% |
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 | 152 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 190 | $16K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 190 | $16K |
| Other(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 190 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.