No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE CO. DBA ANTHEM EIN 31-1440175 NONE | Direct payment from the plan; Contract Administrator; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $488K |
| PLAN ADMINISTRATOR EIN 31-6035546 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $135K |
| VORYS SATER SEYMOUR & PEASE EIN 31-4333125 NONE | Legal; Direct payment from the plan Service code 29 | — | $76K |
| SEGAL CONSULTING EIN 13-1975125 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $67K |
| FRUSH CONSULTING EIN 47-1176875 NONE | Direct payment from the plan; Consulting (general); Accounting (including auditing) Service code 10 | — | $60K |
| SEI INVESTMENTS MANAGEMENT CORP EIN 23-3060382 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $56K |
| SEGAL SELECT INSURANCE SERVICE, INC EIN 46-0619194 NONE | Insurance brokerage commissions and fees; Direct payment from the plan Service code 50 | — | $55K |
| MEMBER ADMINISTRATOR EIN 31-6035546 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $53K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $49K |
| AFFILIATED RESOURCE GROUP NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | PO BOX 491 DUBLIN, OH 43017 | $45K |
| ADECCO USA, INC. NONE | Direct payment from the plan; Other services Service code 49 | 10151 DEERWOOD PARK BLVD STE 101 JACKSONVILLE, FL 32256 | $42K |
| CLARK, SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $32K |
| PLUMBERS & PIPEFITTERS LOCAL 189 SPONSORING UNION RENT | Direct payment from the plan; Other services Service code 49 | 1250 KINNEAR RD. COLUMBUS, OH 43212 | $24K |
| EXECUTIVE SEARCH PARTNERS EIN 27-1716988 NONE | Other commissions; Direct payment from the plan Service code 50 | — | $15K |
| SEGAL SELECT INSURANCE | Insurance brokerage commissions and fees Service code 53 | — | $9K |
| ACA TRACK NONE | Direct payment from the plan; Participant communication Service code 38 | PO BOX 1285 WALLED LAKE, MI 48390 | $7K |
| SEI PRIVATE TRUST CO. EIN 04-2452803 NONE | Direct payment from the plan; Investment advisory (plan); Investment management Service code 27 | — | $6K |
| LANZ PRINTING COMPANY EIN 31-1424280 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $6K |
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 | 850 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 121 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 971 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 1,420 | $256K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 793 | $824K |
| Other | HARTFORD LIFE AND ACCIDENT | 1,420 | $256K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,420 | — |
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.