No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 NONE | Float revenue; Claims processing; Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $1.8M |
| SEGAL COMPANY MIDWEST EIN 13-1975125 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $288K |
| AW, FARRELL & SON, INC. NONE | Other services; Direct payment from the plan Service code 49 | 3649 LAKE SHORE DR. E DUNKIRK, NY 14048 | $164K |
| FAULKNER, HOFFMAN & PHILLIPS, LLP EIN 34-1909706 NONE | Legal; Direct payment from the plan Service code 29 | — | $114K |
| PENNY BROWN EIN 31-0557391 EMPLOYEE | Employee (plan) Service code 30 | — | $109K |
| CARRIER CORPORATION EIN 06-0991716 NONE | Other services; Direct payment from the plan Service code 49 | — | $92K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $83K |
| PEGGY GOTTHARDT EIN 31-0557391 EMPLOYEE | Employee (plan) Service code 30 | — | $69K |
| DELTA DENTAL NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | PO BOX 9085 FARMINGTON HILLS, MI 483339085 | $69K |
| CLARK, SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $62K |
| IWDC OF SO OH PENSION TRUST EIN 31-6038516 RELATED FUND | Direct payment from the plan; Plan Administrator Service code 14 | — | $58K |
| NATHAN DANIELS EIN 31-0557391 EMPLOYEE | Employee (plan) Service code 30 | — | $51K |
| TIM SEDLACK EIN 31-0557391 EMPLOYEE | Employee (plan) Service code 30 | — | $48K |
| PITNEY BOWES, INC. NONE | Other services; Direct payment from the plan Service code 49 | 3001 SUMMER ST. STAMFORD, CT 06926 | $47K |
| CYNTHIA MILLHOUSE EIN 31-0557391 EMPLOYEE | Employee (plan) Service code 30 | — | $43K |
| OLIVIA OVERMEYER EIN 31-0557391 EMPLOYEE | Employee (plan) Service code 30 | — | $37K |
| BRIGID DUNCAN EIN 31-0557391 NONE | Employee (plan) Service code 30 | — | $36K |
| VOLO TECHNOLOGIES EIN 27-0648178 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $35K |
| CVS/CAREMARK NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | ONE CVS DRIVE WOONSOCKET, RI 02895 | $35K |
| MATTHEW HELPING EIN 31-0557391 EMPLOYEE | Employee (plan) Service code 30 | — | $26K |
| SERVPRO OF NORTHWEST DAYTON NONE | Direct payment from the plan; Other services Service code 49 | 7501 JACKS LANE CLAYTON, OH 45315 | $18K |
| TOBE LAWN CARE EIN 20-8222472 NONE | Direct payment from the plan; Other services Service code 49 | — | $18K |
| GATH LAW OFFICE NONE | Legal; Direct payment from the plan Service code 29 | P.O. BOX 44042 INDIANAPOLIS, IN 46244 | $15K |
| CINCINNATI BELL EIN 31-1056105 NONE | Direct payment from the plan; Other services Service code 49 | — | $14K |
| DELK, RUTHERFORD & ASSOCIATES EIN 32-0036374 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $14K |
| CIGNA HEALTH AND LIFE INSURANCE CO. EIN 59-1031071 NONE | Contract Administrator; Direct payment from the plan; Claims processing; Other services; Participant communication; Named fiduciary; Non-monetary compensation; Float revenue Service code 12 | — | $14K |
| EMPLOYER'S HEALTH COALITION EIN 34-1403820 NONE | Other services; Direct payment from the plan Service code 49 | — | $12K |
| JOHNSON CONTROLS SECURITY SOLUTIONS NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 371967 PITTSBURGH, PA 152507967 | $11K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $11K |
| DAYTON POWER AND LIGHT COMPANY EIN 31-0258470 NONE | Direct payment from the plan; Other services Service code 49 | — | $11K |
| OVERMYER HALL ASSOCIATES NONE | Direct payment from the plan; Insurance services; Insurance agents and brokers Service code 22 | 1600 W LANE AVE, SUITE 200 COLUMBUS, OH 43221 | $10K |
| NORTHERN TRUST EIN 36-1561860 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $7K |
| CINTAS CORPORATION NONE | Other services; Direct payment from the plan Service code 49 | PO BOX 630803 CINCINNATI, OH 452630803 | $6K |
| TIAA BANK NONE | Other services; Direct payment from the plan Service code 49 | 10 WATERVIEW BLVD PARSIPPANY, NJ 07054 | $6K |
| NATIONAL COORDINATING COMMITTEE-MEP NONE | Direct payment from the plan; Other services Service code 49 | 815 16TH STREET NW, 6TH FLOOR WASHINGTON, DC 20006 | $6K |
| KEY TRUST COMPANY EIN 31-0466650 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Custodial (securities) Service code 15 | — | $5K |
| COVERALL NORTH AMERICA, INC. NONE | Direct payment from the plan; Other services Service code 49 | 3306 ENCRETE LANE MORAINE, OH 45439 | $5K |
| BOONE RESTORATION NONE | Other services; Direct payment from the plan Service code 49 | 4500 W WENGER RD CLAYTON, OH 45315 | $5K |
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 | 3,187 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,090 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,277 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | HUMANA, INC. | 1,680 | $5.1M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 5,557 | $51K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 3,565 | $1.3M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 3,034 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,557 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.