| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TR HEDGE & ASSOCIATES3 Filed as: TR HEDGE & ASSOSCIATES INC | 63 CORDBINS MILL DR DUBLIN, OH 43017 | SIDECAR HEALTH INSURANCE COMPANY | $16K | — | $16K | 4.46% |
| T.R3 | 63 CORBINS MILL DR DUBLIN, OH 403172064 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | — | $12K | 22.32% |
| T R HEDGE AND ASSOCIATES3 | 63 CORBINS MILL DR DUBLIN, OH 403172064 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $4K | — | $4K | 7.57% |
| T R HEDGE AND ASSOCIATES3 Filed as: T.R. HEDGE & ASSOCIATES,INC. | 63 CORBINS MILL DR DUBLIN, OH 403172064 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | — | $7K | 37.07% |
| T R HEDGE AND ASSOCIATES3 Filed as: T R HEDGE AND ASSOCIATES INC | 63 CORBINS MILL DR DUBLIN, OH 403172064 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $1K | — | $1K | 7.54% |
| T R HEDGE AND ASSOCIATES3 Filed as: T.R. HEDGE & ASSOCIATES,INC. | 63 CORBINS MILL DR DUBLIN, OH 403172064 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 81.46% |
| T R HEDGE AND ASSOCIATES3 Filed as: T.R. HEDGE & ASSOCIATES,INC. | 63 CORBINS MILL DR DUBLIN, OH 403172064 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $466 | — | $466 | 24.11% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIDECAR HEALTH INSURANCE COMPANY | 51 | $362K |
| Dental(2 contracts) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 185 | $69K |
| Vision(2 contracts) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 185 | $69K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 444 | $5K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 376 | $53K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 376 | $19K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 444 | $7K |
| 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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.