| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLEARPATH BENEFIT ADVISORS LLC3 Filed as: CLEARPATH BENEFIT ADVISORS | 300 SPRUCE STREET, STE. 250 COLUMBUS, OH 43215 | COMMUNITY INSURANCE COMPANY | $23K | $0 | $23K | 3.27% |
| SHAWAN MARQUIS AGENCY INC3 Filed as: SHAWAN MARQUIS AGENCY INC. | 110 EAST WILSON BRIDGE ROAD STE 260 COLUMBUS, OH 43085 | COMMUNITY INSURANCE COMPANY | $3K | $0 | $3K | 0.48% |
| CLEARPATH BENEFIT ADVISORS LLC3 Filed as: CLEARPATH BENEFIT ADVISORS | 300 SPRUCE STREET, STE. 250 COLUMBUS, OH 43215 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 7.63% |
| CLEARPATH BENEFIT ADVISORS LLC3 Filed as: CLEARPATH BENEFIT ADVISORS | 300 SPRUCE STREET, STE. 250 COLUMBUS, OH 43215 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.00% |
| CLEARPATH BENEFIT ADVISORS LLC3 Filed as: CLEARPATH BENEFIT ADVISORS | 300 SPRUCE STREET, STE. 250 COLUMBUS, OH 43215 | ANTHEM LIFE INSURANCE COMPANY | $3K | $0 | $3K | 14.55% |
| CLEARPATH BENEFIT ADVISORS LLC3 Filed as: CLEARPATH BENEFIT ADVISORS | 300 SPRUCE STREET, STE. 250 COLUMBUS, OH 43215 | VISION SERVICE PLAN | $753 | $0 | $753 | 7.53% |
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 | 174 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 83 | $696K |
| Dental | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 157 | $42K |
| Vision | VISION SERVICE PLAN | 78 | $10K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 115 | $20K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 174 | $32K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 174 | $32K |
| Other | ANTHEM LIFE INSURANCE COMPANY | 115 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 174 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.