| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 1031 W 4TH AVENUE, STE 400 ANCHORAGE, AK 99501 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 3.51% |
| STEPHEN BRIAN LOMBARDOZZI3 | 5329 GARGASZ DR LORAIN, OH 44053 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 2.84% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INS SERVICES LLC | 601 UNION STREET, STE 1000 SEATTLE, WA 98101 | CONTINENTAL AMERICAN INSURANCE COMPANY | $821 | $0 | $821 | 2.16% |
| CARRIE L CARTER3 | 4433 8TH ST NW, STE 4 CANTON, OH 44718 | CONTINENTAL AMERICAN INSURANCE COMPANY | $630 | $0 | $630 | 1.66% |
| JOHN D SUSIE3 | 8682 HAWICK CT N DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $388 | $0 | $388 | 1.02% |
| MARK L HENDERSON3 | 4960 HIGBEE AVE NW, STE 100 CANTON, OH 44718 | CONTINENTAL AMERICAN INSURANCE COMPANY | $350 | $0 | $350 | 0.92% |
| THOMAS WESLEY3 Filed as: THOMAS JOHN WESLEY | 837 MOSS CANYON DR AMHERST, OH 44001 | CONTINENTAL AMERICAN INSURANCE COMPANY | $243 | $0 | $243 | 0.64% |
| GENESIS & ASSOCIATES LLC3 | 838 ACKLEY ROAD CINCINNATI, OH 45255 | CONTINENTAL AMERICAN INSURANCE COMPANY | $223 | $0 | $223 | 0.59% |
| CHARLES HOWARD JOBE3 | 8421 EVERGREEN DR SAGAMORE HILLS, OH 44067 | CONTINENTAL AMERICAN INSURANCE COMPANY | $139 | $0 | $139 | 0.37% |
| A C LONG & ASSOCIATES INC3 | 1113 MEDINA ROAD, STE 500 MEDINA, OH 44256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $109 | $0 | $109 | 0.29% |
| MICHAEL K MARVILLE3 | 1476 S HIGH STREET COLUMBUS, OH 43207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $67 | $0 | $67 | 0.18% |
| DEBRA OCONNOR FERNANDEZ3 Filed as: DEBRA L MAKOWSKI | 9404 WOODCHIP LANE BROADVIEW HEIGHTS, OH 44147 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | $0 | $23 | 0.06% |
| LOUIS CULLEN SMITH3 | 3205 QUIET TREE GRV OLD HICKORY, TN 37138 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | $0 | $16 | 0.04% |
| JACK A SHADE3 | 470 OLDE WORTHINGTON RD, STE 250 WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | $0 | $12 | 0.03% |
| TERRI PEASE3 Filed as: TERRI L PEASE | 414 OAK STREET WADSWORTH, OH 44281 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | $0 | $9 | 0.02% |
| OPPORTUNITY INC3 | 9404 WOODCHIP LANE BROADVIEW HEIGHTS, OH 44147 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | $0 | $6 | 0.02% |
| ASHLEY GRASER3 Filed as: ASHLEY LOREN GRASER | 4044 POE RD MEDINA, OH 44256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | $0 | $6 | 0.02% |
| THOMAS A HOUSE3 Filed as: THOMAS ALAN HOUSE | 14010 ROOSEVELT BLVD SUITE 701 CLEARWATER, FL 33762 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | $0 | $5 | 0.01% |
| MAKOWSKI INS AGCY INC3 Filed as: MAKOWSKI INS AGENCY INC | 9404 WOODCHIP LANE BROADVIEW HEIGHTS, OH 44147 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | $0 | $3 | 0.01% |
| ROBERTA DICKINSON3 | 16141 HOWE RD STRONGSVILLE, OH 44136 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| JOSEPH LEVY3 | 1444 CARRIAGE HILL DRIVE HUDSON, OH 44236 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| JENNIFER LOEFFLER3 | 4455 MASON ROAD CANAL WINCHESTER, OH 43110 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $943 | $226 | $1K | 3.26% |
| MARSH & MCLENNAN AGENCY LLC3 | 3300 W ESPLANADE AVE METAIRIE, LA 70002 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $810 | $89 | $899 | 2.51% |
| LISA R CANFIELD3 | 9255 HIGH POINT RD THORNVILLE, OH 43076 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $515 | $77 | $592 | 1.65% |
| INTEGRATED EMPLOYEE BENEFIT SOLUTIO3 Filed as: INTEGRATED EMPLOYEE BENEFIT SOLU. | 99 WOOD AVE S. ISELIN, NJ 08830 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $517 | $0 | $517 | 1.44% |
| DONNA L BEYLAND3 | 519 WINDSOR PARK DR DAYTON, OH 45459 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $288 | $0 | $288 | 0.80% |
| MELISSA SUE LEONARDI3 | 65 N DIXIE DR, STE A VANDALIA, OH 45377 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $170 | $0 | $170 | 0.47% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | DBA HORAN HEALTH CINCINNATI, OH 45236 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $151 | $0 | $151 | 0.42% |
| JUSTIN J MCDONALD3 | 12052 PEPPERMILL LANE PICKERINGTON, OH 43147 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $114 | $10 | $124 | 0.35% |
| USI INSURANCE SERVICES LLC3 | 312 ELM STREET CINCINNATI, OH 45202 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $71 | $0 | $71 | 0.20% |
| RICHARD BEYLAND3 | 519 WINDSOR PARK DR. CENTERVILLE, OH 45459 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $46 | $0 | $46 | 0.13% |
| HOWARD MESZAROS3 | 8680 COLVIN DR PLAIN CITY, OH 43064 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $33 | $0 | $33 | 0.09% |
| BRENDA K COX3 | 1039 SPRINGWAY DRIVE SHELBYVILLE, IN 46176 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $31 | $0 | $31 | 0.09% |
| DENNIS N SHAY3 | 409 MANILA PL WESTERVILLE, OH 43081 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $24 | $0 | $24 | 0.07% |
| SCOTT THOMAS LEONARDI3 | 65 N DIXIE DR, STE 5 VANDALIA, OH 45377 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $16 | $0 | $16 | 0.04% |
| PATRICIA G SPIES3 | 600 S MARSHALL RD MIDDLETOWN, OH 45044 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.01% |
| GEORGE EVANS3 | 7950 S R 605 WESTERVILLE, OH 43081 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.01% |
| DANIEL THOMAS CANFIELD3 | 9255 HIGH POINT RD THORNVILLE, OH 43076 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| OVERALL BENEFITS GROUP LLC3 | 9255 HIGH POINT RD THORNVILLE, OH 43076 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 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 | 326 | 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) | 326 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 266 | $25K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 326 | $145K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 52 | $36K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 326 | $109K |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 549 | $160K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 549 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.