No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE CO. DBA ANTHEM EIN 31-1440175 NONE | Other services; Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 12 | — | $649K |
| MEMBER ADMINISTRATOR EIN 31-6035546 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $446K |
| PLAN ADMINISTRATOR EIN 31-6035546 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $157K |
| HOTRON EIN 36-3672171 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $83K |
| VORYS, SATER, SEYMOUR & PEASE EIN 31-4333125 NONE | Legal; Direct payment from the plan Service code 29 | — | $50K |
| FRUSH CONSULTING EIN 47-1176875 NONE | Direct payment from the plan; Consulting (general); Accounting (including auditing) Service code 10 | — | $49K |
| AFFILIATED RESOURCE GROUP NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | P.O. BOX 491 DUBLIN, OH 43017 | $47K |
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $42K |
| SEGAL MARCO EIN 13-2646110 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $39K |
| CLARK, SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $33K |
| LANTZ PRINTING EIN 31-1424280 NONE | Other fees; Direct payment from the plan Service code 50 | — | $25K |
| PLUMBERS & PIPFITTERS LOCAL 189 RENT | Direct payment from the plan; Other services Service code 49 | 1250 KINNEAR ROAD COLUMBUS, OH 43212 | $24K |
| SELECT SEGAL INSURANCE SERVICES INC EIN 46-0519194 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $10K |
| ACA TRACK NONE | Direct payment from the plan; Participant communication Service code 38 | P.O. BOX 1285 WALLED LAKE, MI 48390 | $10K |
| CAPITAL SQUARE PRINTING EIN 31-1028114 NONE | Direct payment from the plan; Other fees Service code 50 | — | $9K |
| COMERICA EIN 31-6083746 NONE | Other investment fees and expenses; Custodial (securities); Direct payment from the plan Service code 19 | — | $8K |
| WA US INTERMEDIATE PLUS EIN 95-2705767 NONE | Investment advisory (participants); Direct payment from the plan Service code 26 | — | $7K |
| CARL ZIPF LOCK SHOP, INC. EIN 31-0885824 NONE | Direct payment from the plan; Other fees Service code 50 | — | $7K |
| BRIDGEWAY BENEFIT TECH EIN 52-1796473 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $7K |
| IFEBP MEMBERSHIP EIN 39-1034021 CONFERENCE FEES | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $6K |
| SOLAR TINT EIN 03-0381876 NONE | Direct payment from the plan; Other fees Service code 50 | — | $5K |
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 | 1,016 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 248 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,264 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS BLUE SHIELD | 220 | $238K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,778 | $357K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 1,041 | $1.3M |
| Other(2 contracts, 2 carriers) | COMMUNITY INSURANCE COMPANY | 1,778 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,778 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.