| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PIPES INSURANCE SERVICE LTD3 | 442 WEST HIGH AVENUE NEW PHILADELPHIA, OH 44663 | COMMUNITY INSURANCE COMPANY | $27K | — | $27K | 1.39% |
| EMPLOYEE BENEFIT MANAGEMENT CORP3 | 4789 RINGS ROAD DUBLIN, OH 43017 | LINCOLN NATIONAL | $7K | $816 | $8K | 16.66% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS, INC | 1650 NORTH COUNTY LINE ST SUITE 200 PO BOX 906 FOSTORIA, OH 44830 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $1K | $8K | 17.73% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS, INC | 1650 NORTH COUNTY LINE ST SUITE 200 PO BOX 906 FOSTORIA, OH 44830 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $641 | $4K | 13.70% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS, INC | 1650 NORTH COUNTY LINE ST SUITE 200 PO BOX 906 FOSTORIA, OH 44830 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $582 | $3K | 12.71% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS, INC | 1650 NORTH COUNTY LINE ST SUITE 200 PO BOX 906 FOSTORIA, OH 44830 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | $1K | $5K | 33.12% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGOHAN BRABENDER, INC. | 3931 SOUTH DIXIE DRIVE DAYTON, OH 45439 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $378 | — | $378 | 2.32% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CORPORATE ONE BENEFITS EIN 34-1834526 BROKER | Insurance agents and brokers Service code 22 | 1650 NORTH COUNTY LINE ST SUITE 200 PO BOX 906 FOSTORIA, OH 44830 | $30K |
| OHIO HEALTH CHOICE EIN 34-1381358 CONTRACT | Other fees Service code 99 | — | $29K |
| MEDICAL MUTUAL LIFE INSURANCE EIN 31-4210910 CONTRACT | Plan Administrator Service code 14 | — | $5K |
| MEDICAL BENEFITS MUTUAL LIFE INS CO EIN 31-4210910 CONTRACT | Plan Administrator Service code 14 | — | $598 |
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 | 263 | 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) | 263 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 386 | $2.0M |
| Dental(2 contracts, 2 carriers) | COMMUNITY INSURANCE COMPANY | 386 | $2.0M |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 193 | $16K |
| Life insurance(3 contracts, 2 carriers) | LINCOLN NATIONAL | 263 | $116K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 239 | $30K |
| Stop-loss / reinsurancereinsurance | MUNICH/AMERICAN ALTERNATIVE INSURANCE CORPORATION | 193 | $297K |
| Other(3 contracts, 2 carriers) | LINCOLN NATIONAL | 263 | $116K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 386 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.