| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 312 ELM STREET, 24TH FLOOR CINCINNATI, OH 45202 | DENTAL CARE PLUS, INC. | $5K | $0 | $5K | 3.29% |
| EDWARD A SEIDENKRANZ3 Filed as: EDWARD A. SEIDENKRANZ AND AGENTS | 1049 AULDRIDGE DRIVE SPRING HILL, TN 37174 | AFLAC | $132 | $0 | $132 | 5.12% |
| TREVOR M. FRYE3 | 7276 STATE ROAD CINCINNATI, OH 45230 | AFLAC | $54 | $0 | $54 | 2.10% |
| SHANA WOLF3 | 11260 CHESTER ROAD, SUITE 500 CINCINNATI, OH 45246 | AFLAC | $45 | $0 | $45 | 1.75% |
| ALAN W FOSTER3 Filed as: ALAN W. FOSTER | 716 FRENCH RIVER ROAD NOLENSVILLE, TN 37135 | AFLAC | $36 | $0 | $36 | 1.40% |
| JORDAN S SMITH3 Filed as: JORDAN S. SMITH | 240 WILSON PIKE CIRCLE, SUITE 200 BRENTWOOD, TN 37027 | AFLAC | $35 | $0 | $35 | 1.36% |
| FRED L. HOFFMAN3 | 28 APPLEWOOD DRIVE FAIRFIELD, OH 45014 | AFLAC | $33 | $0 | $33 | 1.28% |
| USI INSURANCE SERVICES LLC3 | 312 ELM STREET, 24TH FLOOR CINCINNATI, OH 45202 | AFLAC | $26 | $0 | $26 | 1.01% |
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 | 394 | 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) | 394 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DENTAL CARE PLUS, INC. | 542 | $164K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 383 | $22K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 394 | $183K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 394 | $183K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 394 | $183K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 394 | $186K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 542 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.