| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORNERSTONE BROKER INS SERVICES3 Filed as: CORNERSTONE BROKER INS. SVCS. AGCY. | 2101 FLORENCE AVENUE CINCINNATI, OH 45206 | UNITEDHEALTHCARE INSURANCE COMPANY | $9K | $54K | $63K | 2.61% |
| DEMORAY BENEFIT ADMINISTRATORS INC3 Filed as: DEMORAY BENEFIT ADMINISTRATORS INC. | 1487 COURTYARD PLACE CENTERVILLE, OH 45458 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $0 | $6K | 4.99% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 811 MADISON AVENUE TOLEDO, OH 43604 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 1.14% |
| DEMORAY BENEFIT ADMINISTRATORS INC3 Filed as: DEMORAY BENEFIT ADMINISTRATORS INC. | 1487 COURTYARD PLACE CENTERVILLE, OH 45458 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.08% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 811 MADISON AVENUE TOLEDO, OH 43604 | PRINCIPAL LIFE INSURANCE COMPANY | $686 | $0 | $686 | 3.04% |
| DEMORAY BENEFIT ADMINISTRATORS INC3 Filed as: DEMORAY BENEFIT ADMINISTRATORS INC. | 1487 COURTYARD PLACE CENTERVILLE, OH 45458 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $2K | $0 | $2K | 8.57% |
| DEMORAY BENEFIT ADMINISTRATORS INC3 Filed as: DEMORAY BENEFIT ADMINISTRATORS INC. | 1487 COURTYARD PLACE CENTERVILLE, OH 45458 | DENTAL CARE PLUS, INC. | $971 | $0 | $971 | 7.31% |
| HYLANT GROUP INC3 Filed as: HYLANT GROUP | 811 MADISON AVENUE TOLEDO, OH 43604 | DENTAL CARE PLUS, INC. | $362 | $0 | $362 | 2.72% |
| THOMAS W BOSTON3 Filed as: THOMAS W. BOSTON | 1275 WEST MAPLE STREET HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $408 | $0 | $408 | 4.24% |
| DAVE MAUTE3 | 2200 EAST MAIN STREET SPRINGFIELD, OH 45503 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $372 | $0 | $372 | 3.87% |
| DOUGLAS SMITH3 | 2713 WOODFORD DRIVE SPRINGFIELD, OH 45503 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $139 | $0 | $139 | 1.44% |
| JAMES L HALSEY3 Filed as: JAMES L. HALSEY | 119 NORTH MAIN STREET UNION, OH 45322 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $45 | $0 | $45 | 0.47% |
| VINURA AGENCY LLC3 Filed as: VINURA AGENCY, LLC | PO BOX 102 WADSWORTH, OH 44282 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $16 | $0 | $16 | 0.17% |
| PLANCHOICE INC3 Filed as: PLANCHOICE | 13257 OBANNON STATION WAY LOUISVILLE, KY 40223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2 | $0 | $2 | 0.02% |
| DOUGLAS SMITH3 | 2713 WOODFORD DRIVE SPRINGFIELD, OH 45503 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $752 | $0 | $752 | 8.27% |
| DAVE MAUTE3 | 2200 EAST MAIN STREET SPRINGFIELD, OH 45503 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $256 | $0 | $256 | 2.82% |
| VINURA AGENCY LLC3 Filed as: VINURA AGENCY, LLC | PO BOX 102 WADSWORTH, OH 44282 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $199 | $0 | $199 | 2.19% |
| ERICA J LEONHARDT3 Filed as: ERICA J. LEONHARDT | 9000 FRANCINE LANE POWELL, OH 43065 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $90 | $0 | $90 | 0.99% |
| THOMAS W BOSTON3 Filed as: THOMAS W. BOSTON | 1275 WEST MAPLE STREET HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $88 | $0 | $88 | 0.97% |
| MJ INSURANCE3 Filed as: PLANCHOICE AND VARIOUS AGENTS | 13257 OBANNON STATION WAY LOUISVILLE, KY 40223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $66 | $0 | $66 | 0.73% |
| JAMES L HALSEY3 Filed as: JAMES L. HALSEY | 119 NORTH MAIN STREET UNION, OH 45322 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $49 | $0 | $49 | 0.54% |
| DOUGLAS SMITH3 | 2713 WOODFORD DRIVE SPRINGFIELD, OH 45503 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $881 | $0 | $881 | 9.74% |
| DAVE MAUTE3 | 2200 EAST MAIN STREET SPRINGFIELD, OH 45503 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $339 | $0 | $339 | 3.75% |
| VINURA AGENCY LLC3 Filed as: VINURA AGENCY, LLC | PO BOX 102 WADSWORTH, OH 44282 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $228 | $0 | $228 | 2.52% |
| ERICA J LEONHARDT3 Filed as: ERICA J. LEONHARDT | 9000 FRANCINE LANE POWELL, OH 43065 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $175 | $0 | $175 | 1.94% |
| THOMAS W BOSTON3 Filed as: THOMAS W. BOSTON | 1275 WEST MAPLE STREET HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $106 | $0 | $106 | 1.17% |
| JAMES L HALSEY3 Filed as: JAMES L. HALSEY | 119 NORTH MAIN STREET UNION, OH 45322 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $59 | $0 | $59 | 0.65% |
| MJ INSURANCE3 Filed as: PLANCHOICE AND VARIOUS AGENTS | 13257 OBANNON STATION WAY LOUISVILLE, KY 40223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $42 | $0 | $42 | 0.46% |
| DOUGLAS SMITH3 | 2713 WOODFORD DRIVE SPRINGFIELD, OH 45503 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $775 | $0 | $775 | 13.00% |
| DAVE MAUTE3 | 2200 EAST MAIN STREET SPRINGFIELD, OH 45503 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $286 | $0 | $286 | 4.80% |
| VINURA AGENCY LLC3 Filed as: VINURA AGENCY, LLC | PO BOX 102 WADSWORTH, OH 44282 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $204 | $0 | $204 | 3.42% |
| ERICA J LEONHARDT3 Filed as: ERICA J. LEONHARDT | 9000 FRANCINE LANE POWELL, OH 43065 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $106 | $0 | $106 | 1.78% |
| THOMAS W BOSTON3 Filed as: THOMAS W. BOSTON | 1275 WEST MAPLE STREET HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $74 | $0 | $74 | 1.24% |
| JAMES L HALSEY3 Filed as: JAMES L. HALSEY | 119 NORTH MAIN STREET UNION, OH 45322 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $52 | $0 | $52 | 0.87% |
| MJ INSURANCE3 Filed as: PLANCHOICE AND VARIOUS AGENTS | 13257 OBANNON STATION WAY LOUISVILLE, KY 40223 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $37 | $0 | $37 | 0.62% |
| THOMAS W BOSTON3 Filed as: THOMAS W. BOSTON | 1275 WEST MAPLE STREET HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $183 | $0 | $183 | 3.57% |
| DAVE MAUTE3 | 2200 EAST MAIN STREET SPRINGFIELD, OH 45503 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $161 | $0 | $161 | 3.14% |
| ERICA J LEONHARDT3 Filed as: ERICA J. LEONHARDT | 9000 FRANCINE LANE POWELL, OH 43065 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $74 | $0 | $74 | 1.44% |
| DOUGLAS SMITH3 | 2713 WOODFORD DRIVE SPRINGFIELD, OH 45503 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $46 | $0 | $46 | 0.90% |
| JAMES L HALSEY3 Filed as: JAMES L. HALSEY | 119 NORTH MAIN STREET UNION, OH 45322 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $23 | $0 | $23 | 0.45% |
| ARMIN G LEONHARDT3 Filed as: ARMIN G. LEONHARDT | 9000 FRANCINE LANE POWELL, OH 43065 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4 | $0 | $4 | 0.08% |
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 | 199 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 203 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 292 | $2.4M |
| Dental | DENTAL CARE PLUS, INC. | 36 | $13K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 301 | $21K |
| Life insurance(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 219 | $150K |
| Short-term disability(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 219 | $150K |
| Long-term disability(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 219 | $150K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 292 | $2.4M |
| Other(7 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 219 | $189K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 301 | — |
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.