No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ISU INTERNATIONAL SPECIALTY UNDERW STOP LOSS CARRIER | Other insurance fees and expenses Service code 73 | 6621 SOUTHPOINT DRIVE NORTH JACKSONVILLE, FL 32216 | $270K |
| CUSTOM DESIGN BENEFITS LLC EIN 81-0798821 | Claims processing Service code 12 | — | $78K |
| ENROLLMENT MANAGEMENT SERVICES BROKER SERVICES | Other fees Service code 99 | 6934 MIAMI AVENUE CINCINNATI, OH 45243 | $47K |
| STRATEGIC EMPLOYEE BENEFITS EIN 31-1127135 | Insurance brokerage commissions and fees Service code 53 | — | $35K |
| MEDICAL MUTUAL OF OHIO EIN 34-0648820 PPO PROVIDER | Other insurance fees and expenses Service code 73 | — | $15K |
| RX RESULTS EIN 26-3233073 PRESCRIPTION AUTHORIZATIO | Other fees Service code 99 | — | $6K |
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 | 151 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 151 | $225K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.