| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 1111 SUPERIOR AVE E CLEVELAND, OH 44114 | DELTA DENTAL OF OHIO | $12K | — | $12K | 2.92% |
| SHAWN J KEELER3 | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $18K | — | $18K | 12.87% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS -GARDNER DIV | 201 W 1034D STREET STE 505 INDIANAPOLIS, IN 46290 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $11K | — | $11K | 7.91% |
| GARY MOSELEY3 Filed as: GARY L. MOSELEY | 7415 PORT ROYALE AVENUE RUSSELLS POINT, OH 43348 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 1.60% |
| SHAWN L MOSELEY3 Filed as: SHAWN L. MOSELEY | 4972 SOFTWOOD COURT WESTERVILLE, OH 43081 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 0.87% |
| KEELER & ASSOCIATES3 | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $885 | — | $885 | 0.64% |
| GAYLE A. DENNIS3 | 142 PAINE ST DELAWARE, OH 43015 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $840 | — | $840 | 0.61% |
| JOSEPH E TROIANO3 Filed as: JOSEPH E. TROIANO | 1242 CANDORA ST BLACKLICK, OH 43004 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $250 | — | $250 | 0.18% |
| RALPH H KEELER3 | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $75 | — | $75 | 0.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES - DUBLIN | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $11K | — | $11K | 10.56% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVC INC | P.O. BOX 40948 INDIANAPOLIS, IN 462400948 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $706 | — | $706 | 10.47% |
| SHAWN KEELER3 | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $503 | — | $503 | 7.46% |
| GAYLE A. DENNIS3 Filed as: GAYLE A DENNIS | 142 PAINE ST DELAWARE, OH 43015 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $203 | — | $203 | 3.01% |
| GARY MOSELEY3 | 7415 PORT ROAYALE AVENUE RUSSELLS POINT, OH 43348 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $82 | — | $82 | 1.22% |
| SHAWN L MOSELEY3 Filed as: SHAWN L. MOSELEY | 4972 SOFTWOOD COURT WESTERVILLE, OH 43081 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $62 | — | $62 | 0.92% |
| JACK L SHORT3 | 176 PATTI DR WESTERVILLE, OH 43081 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $53 | — | $53 | 0.79% |
| JOSEPH E TROIANO3 Filed as: JOSEPH E. TROIANO | 1242 CANDORA ST BLACKLICK, OH 43004 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $36 | — | $36 | 0.53% |
| KEELER & ASSOCIATES3 | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $33 | — | $33 | 0.49% |
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 | 742 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 742 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 437 | $145K |
| Dental | DELTA DENTAL OF OHIO | 1,639 | $422K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 1,428 | $106K |
| Life insurance | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 437 | $138K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,639 | — |
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.