No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE CO. DBA ANTHEM EIN 31-1440175 NONE | Claims processing; Direct payment from the plan; Contract Administrator; Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $505K |
| PLAN ADMINISTRATOR EIN 31-6035546 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $126K |
| SEGAL CONSULTING EIN 13-1975125 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $81K |
| FRUSH CONSULTING EIN 47-1176875 NONE | Direct payment from the plan; Accounting (including auditing); Consulting (general) Service code 10 | — | $70K |
| SEI INVESTMENTS MANAGEMENT CORP EIN 04-2452803 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $68K |
| SEGAL SELECT INSURANCE SERVICE, INC EIN 46-0619194 NONE | Direct payment from the plan; Insurance brokerage commissions and fees Service code 50 | — | $56K |
| VORYS SATER SEYMOUR & PEASE EIN 31-4333125 NONE | Legal; Direct payment from the plan Service code 29 | — | $50K |
| CLARK, SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $41K |
| AFFILIATED RESOURCE GROUP NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | PO BOX 491 DUBLIN, OH 43017 | $40K |
| CONTRIBUTIONS COORDINATOR EIN 31-6035546 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $38K |
| MEMBER ADMINISTRATOR EIN 31-6035546 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $33K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $23K |
| PLUMBERS & PIPEFITTERS LOCAL 189 SPONSORING UNION RENT | Other services; Direct payment from the plan Service code 49 | 1250 KINNEAR RD. COLUMBUS, OH 43212 | $22K |
| ADECCO USA, INC. NONE | Direct payment from the plan; Other services Service code 49 | 10151 DEERWOOD PARK BLVD STE 101 JACKSONVILLE, FL 32256 | $18K |
| SEGAL SELECT INSURANCE | Insurance brokerage commissions and fees Service code 53 | — | $9K |
| ACA TRACK NONE | Participant communication; Direct payment from the plan Service code 38 | PO BOX 1285 WALLED LAKE, MI 48390 | $8K |
| SEI PRIVATE TRUST CO. EIN 23-3060382 NONE | Investment management; Investment advisory (plan); Direct payment from the plan Service code 27 | — | $7K |
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 | 738 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 352 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,090 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,385 | $254K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 1,090 | $845K |
| Other | HARTFORD LIFE AND ACCIDENT | 1,385 | $254K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,385 | — |
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.