| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $31 | $31 | 0.03% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 7.31% |
| CARRIE L CARTER3 Filed as: CARRIE L. CARTER | 4433 38TH STREET NW CANTON, OH 44718 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 5.75% |
| MARK L HENDERSON3 Filed as: MARK L. HENDERSON | 8155 GARNET AVENUE NE CANTON, OH 43207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $782 | $0 | $782 | 1.40% |
| GENESIS & ASSOCIATES LLC3 Filed as: GENESIS AND ASSOCIATES LLC | 838 ACKLEY ROAD CINCINNATI, OH 45255 | CONTINENTAL AMERICAN INSURANCE COMPANY | $357 | $0 | $357 | 0.64% |
| MICHAEL K. MARVILLE & OTHER AGENTS3 | 1476 SOUTH HIGH STREET COLUMBUS, OH 43207 | CONTINENTAL AMERICAN INSURANCE COMPANY | $250 | $0 | $250 | 0.45% |
| A C LONG & ASSOCIATES INC3 Filed as: A.C. LONG AND ASSOCIATES INC. | 1113 MEDINA ROAD, SUITE 500 MEDINA, OH 44256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $183 | $0 | $183 | 0.33% |
| JOHN D SUSIE3 Filed as: JOHN D. SUSIE | 8682 HAWICK COURT NORTH DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $117 | $0 | $117 | 0.21% |
| DONNA L BEYLAND3 Filed as: DONNA L. BEYLAND | 519 WINDSOR PARK DRIVE DAYTON, OH 45459 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 4.41% |
| INTEGRATED EMPLOYEE BENEFIT SOLUTIO3 Filed as: INTEGRATED EMPLOYEE BENEFIT SOL. | 5880 VENTURE DRIVE DUBLIN, OH 43017 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 3.03% |
| USI INSURANCE SERVICES LLC3 | 312 ELM STREET CINCINNATI, OH 45202 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $735 | $59 | $794 | 1.73% |
| BRENDA K COX3 Filed as: BRENDA COX AND OTHER AGENTS | 1039 SPRINGWAY DRIVE SHELBYVILLE, IN 46176 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $376 | $53 | $429 | 0.94% |
| BEYLAND CONSULTANTS INC3 Filed as: BEYLAND CONUSULTANTS INC. | 519 WINDSOR PARK DRIVE CENTERVILLE, OH 45459 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $285 | $12 | $297 | 0.65% |
| HORAN ASSOCIATES INC.3 | 4990 EAST GALBRAITH ROAD CINCINNATI, OH 45236 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $208 | $0 | $208 | 0.45% |
| HOWARD MESZAROS3 | 8680 COLVIN DRIVE PLAIN CITY, OH 43064 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $101 | $0 | $101 | 0.22% |
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 | 385 | 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) | 385 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 385 | $140K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 74 | $46K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 385 | $150K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 385 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.