| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JEFFREY WILSON RICH3 | 3805 EDWARDS ROAD SUITE 200 CINCINNATI, OH 45209 | NORTHWESTERN MUTUAL | $13 | $236 | $249 | — |
| HOWARD L TOMB3 | 3805 EDWARDS ROAD SUITE 200 CINCINNATI, OH 45209 | NORTHWESTERN MUTUAL | $63 | $16 | $79 | — |
| TIMOTHY CAILOR MILLER3 | 3805 EDWARDS ROAD SUITE 200 CINCINNATI, OH 45209 | NORTHWESTERN MUTUAL | $47 | $19 | $66 | — |
| KELLEY FINANCIAL GRP3 Filed as: KELLEY FNCL GRP INC. | 3805 EDWARDS ROAD SUITE 200 CINCINNATI, OH 45209 | NORTHWESTERN MUTUAL | $4 | $1 | $5 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE SHEPHERD MATERIAL SCIENCE CO EIN 27-4428082 ACCOUNTANT/AUDITOR | Accounting (including auditing) Service code 10 | — | $18K |
| STRATEGIC ADVISORS, INC. EIN 04-2654524 ADVISOR | Investment advisory (plan) Service code 27 | — | $12K |
| FIDELITY INVESTMENTS INSTITUTIONAL EIN 04-2647786 RECORDKEEPER | Sub-transfer agency fees; Securities brokerage commissions and fees; Recordkeeping fees; Participant loan processing; Account maintenance fees Service code 37 | — | -$10K |
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 | 486 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 104 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 600 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | NORTHWESTERN MUTUAL | 16 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16 | — |
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."
No prospect flags tripped on this filing.