| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORNERSTONE BROKER INS SERVICES3 Filed as: CORNERSTONE BROKER INS SERVICES AGE | 2101 FLORENCE AVENUE CINCINNATI, OH 45206 | COMMUNITY INSURANCE COMPANY | — | $276 | $276 | 0.12% |
| BENEFITS NETWORK INSURANCE AGENCY3 | 4555 LAKE FOREST DR SUITE 510 CINCINNATI, OH 45242 | COMMUNITY INSURANCE COMPANY | — | $273 | $273 | 0.12% |
| JASON S. SUCHANEK3 | 11427 REED HARTMAN HWY STE 126 CINCINNATI, OH 45241 | THE DENTAL CARE PLUS GROUP | $4K | — | $4K | 4.07% |
| JASON S. SUCHANEK3 | 11427 REED HARTMAN HWY STE 126 CINCINNATI, OH 45241 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 8.66% |
| JASON S. SUCHANEK3 | 11427 REED HARTMAN HWY STE 126 CINCINNATI, OH 45241 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 14.83% |
| JASON S. SUCHANEK3 | 11427 REED HARTMAN HWY STE 126 CINCINNATI, OH 45241 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $973 | — | $973 | 9.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 NONE | Float revenue; Other services; Claims processing; Contract Administrator; Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 1351 WILLIAM HOWARD TAFT RD. CINCINNATI, OH 45206 | $189K |
| JASON S SUCHANEK EIN 31-1440175 NONE | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | 11427 REED HARTMAN HWY 126 CINCINNATI, OH 45241 | $62K |
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 | 169 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 13 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 184 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE DENTAL CARE PLUS GROUP | 322 | $91K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 243 | $45K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 253 | $80K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 253 | $80K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 349 | $235K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 243 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 349 | — |
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.