| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 5455 RINGS RD STE 250 ATRIUM 2 S TOWER DUBLIN, OH 43017 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $35K | $35K | 1.48% |
| MILESTONE BENEFITS AGENCY INC3 | 521 VILLAGE PARK DR POWELL, OH 43065 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $12K | $12K | 0.51% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $4K | $8K | 6.45% |
| MILESTONE BENEFITS AGENCY INC3 | 521 VILLAGE PARK DR POWELL, OH 43065 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 1.20% |
| MILESTONE BENEFITS AGENCY INC3 | 521 VILLAGE PARK DR POWELL, OH 43065 | STNADARD INSURANCE COMPANY | $1K | $0 | $1K | 3.65% |
| USI INSURANCE SERVICES LLC3 | 1611 N MERIDIAN ST STE 230 CARMEL, IN 42690 | STNADARD INSURANCE COMPANY | $1K | $0 | $1K | 3.50% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 ATTN MOUNTAIN VIRGIANA BEACH, VA 23466 | STNADARD INSURANCE COMPANY | $0 | $250 | $250 | 0.84% |
| USI INSURANCE SERVICES LLC3 | 1611 N MERIDIAN ST STE 230 CARMEL, IN 46290 | STNADARD INSURANCE COMPANY | $2K | $0 | $2K | 8.69% |
| MILESTONE BENEFITS AGENCY INC3 | 521 VILLAGE PARK DR POWELL, OH 43065 | STNADARD INSURANCE COMPANY | $1K | $0 | $1K | 5.09% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 ATTN MOUNTAIN VIRGINIA BEACH, VA 23466 | STNADARD INSURANCE COMPANY | $0 | $219 | $219 | 0.85% |
| USI INSURANCE SERVICES LLC3 | 11611 N MERIDIAN ST STE 230 CARMEL, IN 46290 | STNADARD INSURANCE COMPANY | $1K | $0 | $1K | 19.08% |
| MILESTONE BENEFITS AGENCY INC3 | 521 VILLAGE PARK DR POWELL, OH 43065 | STNADARD INSURANCE COMPANY | $60 | $0 | $60 | 0.92% |
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 | 153 | 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) | 153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 272 | $2.4M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 277 | $120K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 277 | $120K |
| Life insurance | STNADARD INSURANCE COMPANY | 153 | $30K |
| Long-term disability | STNADARD INSURANCE COMPANY | 153 | $26K |
| Other | STNADARD INSURANCE COMPANY | 153 | $30K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 277 | — |
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.