| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THOMAS HEDGE | 63 CORBINS MILL DR DUBLIN, OH 43017 | SIDECAR HEALTH INSURANCE COMPANY | $38K | — | $38K | 4.42% |
| THOMAS HEDGE | 63 CORBINS MILL DR DUBLIN, OH 43017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | — | $0 | 0.00% |
| THOMAS HEDGE | 63 CORBINS MILL DR DUBLIN, OH 43017 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $4K | — | $4K | 7.57% |
| THOMAS HEDGE | 63 CORBINS MILL DR DUBLIN, OH 43017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | — | $0 | 0.00% |
| THOMAS HEDGE | 63 CORBINS MILL DR DUBLIN, OH 43017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | — | $0 | 0.00% |
| THOMAS HEDGE | 63 CORBINS MILL DR DUBLIN, OH 43017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | — | $0 | 0.00% |
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 | 183 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 183 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIDECAR HEALTH INSURANCE COMPANY | 183 | $869K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 162 | $53K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 162 | $53K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 444 | $35K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 376 | $96K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 376 | $42K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 444 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 444 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.