No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE CO. DBA ANTHEM EIN 31-1440175 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator; Claims processing; Other services Service code 12 | — | $504K |
| PLAN ADMINISTRATOR EIN 31-6035546 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $155K |
| SEGAL CONSULTING EIN 13-1975125 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $80K |
| VORYS SATER SEYMOUR & PEASE EIN 31-4333125 NONE | Legal; Direct payment from the plan Service code 29 | — | $71K |
| SEI INVESTMENTS MANAGEMENT CORP EIN 04-2452803 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $58K |
| CONTRIBUTIONS COORDINATOR EIN 31-6035546 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $57K |
| FRUSH CONSULTING EIN 31-1308134 NONE | Direct payment from the plan; Accounting (including auditing); Consulting (general) Service code 10 | — | $56K |
| DELTA DENTAL OF OHIO EIN 31-0685339 NONE | Claims processing; Contract Administrator Service code 12 | — | $33K |
| CLARK, SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $33K |
| HEALTH MANAGEMENT SYSTEMS, INC. NONE | Direct payment from the plan; Insurance services; Consulting (general) Service code 16 | 401 PARK AVE S NEW YORK, NY 10016 | $26K |
| PLUMBERS & PIPEFITTERS LOCAL 189 SPONSORING UNION RENT | Other services; Direct payment from the plan Service code 49 | 1250 KINNEAR RD. COLUMBUS, OH 43212 | $22K |
| PNC BANK, NATIONAL ASSOCIATION EIN 25-1211909 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $18K |
| BYRNE SOFTWARE TECHNOLOGIES, INC. EIN 43-1853340 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $17K |
| LANZ PRINTING CO NONE | Direct payment from the plan; Other services Service code 49 | 257 CLEVELAND AVE COLUMBUS, OH 43215 | $15K |
| INTERNATIONAL FOUNDATION OF NONE | Other services; Direct payment from the plan Service code 49 | EMPLOYEE BENEFIT PLANS 18700 W. BLUEMOUND RD. BROOKFIELD, WI 530080069 | $10K |
| GFC LEASING NONE | Other services; Direct payment from the plan Service code 49 | 5655 VENTURE DR DUBLIN, OH 43017 | $7K |
| PITNEY BOWES INC. NONE | Other services; Direct payment from the plan Service code 49 | 3001 SUMMER ST. STAMFORD, CT 06926 | $7K |
| SEGAL SELECT INSURANCE EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $7K |
| AT&T NONE | Direct payment from the plan; Other services Service code 49 | 208 S AKARD STREET STE 110 DALLAS, TX 75202 | $7K |
| KELLY SERVICES, INC. EIN 38-1510762 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $7K |
| CMAX ADVISORS NONE | Direct payment from the plan; Other services Service code 49 | 54 E WHITTIER ST. COLUMBUS, OH 43206 | $6K |
| SEI PRIVATE TRUST CO. EIN 23-3060382 NONE | Investment advisory (plan); Investment management; Direct payment from the plan Service code 27 | — | $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 | 714 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 393 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,107 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,354 | $228K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 787 | $608K |
| Other | HARTFORD LIFE AND ACCIDENT | 1,354 | $228K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,354 | — |
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.