| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON BANCSHARES INC | 221 S. CHRUCH STREET BOWLING GREEN, OH 43402 | SUN LIFE ASSURANCE COMPANY OF CANADA31108 | $340K | $15K | $355K | 14.08% |
| HUNTINGTON INSURANCE INC3 | 37 WEST BROAD, 7TH FLOOR COLUMBUS, OH 43215 | THE HARTFORD | $12K | $3K | $15K | 18.38% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS BLUE SHIELD EIN 31-1440175 NONE | Contract Administrator; Other services; Claims processing Service code 12 | — | $2.9M |
| QUANTUM HEALTH INC. EIN 20-8423895 NONE | Other services; Contract Administrator Service code 13 | — | $2.8M |
| AMERIBEN EIN 82-0497661 NONE | Other services; Contract Administrator; Claims processing Service code 12 | — | $1.8M |
| MEDICAL MUTUAL EIN 34-1922587 NONE | Claims processing; Contract Administrator; Other services Service code 12 | — | $491K |
| CIGNA HEALTH AND LIFE INSURANCE EIN 59-1031071 NONE | Contract Administrator; Other services; Claims processing Service code 12 | — | $424K |
| HEALTH CARE BLUE BOOK NONE | Other services Service code 49 | 300 FRANKLIN RD. STE 135A BRENTWOOD, TX 37027 | $263K |
| OHIOHEALTHY EIN 34-4897871 NONE | Claims processing; Other services; Contract Administrator Service code 12 | — | $207K |
| UPMC HEALTH PLAN EIN 23-2813536 NONE | Contract Administrator; Other services; Claims processing Service code 12 | — | $107K |
| APEX BENEFIT SERVICES EIN 34-1961463 NONE | Contract Administrator; Other services; Claims processing Service code 12 | — | $84K |
| AULTCARE INSURANCE COMPANY EIN 34-1488123 NONE | Contract Administrator; Claims processing; Other services Service code 12 | — | $36K |
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 | 15,285 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 595 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 15,880 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SUN LIFE ASSURANCE COMPANY OF CANADA31108 | 4,244 | $2.5M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 2,071 | $424K |
| Vision | VISION SERVICE PLAN | 10,660 | $2.2M |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 21,630 | $8.7M |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 21,630 | $8.6M |
| Stop-loss / reinsurancereinsurance | MEDICAL MUTUAL | 12,313 | $232K |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA31108 | 4,244 | $2.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 21,630 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.