| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KEF INSURANCE LLC3 | 2955 DONNYLANE BLVD COLUMBUS, OH 43235 | METROPLOITAN LIFE INSURANCE COMPANY | $3K | — | $3K | — |
| KEF INSURANCE LLC3 | 2955 DONNYLANE BLVD COLUMBUS, OH 43235 | TRANSAMERICA LIFE INSURANCE COMPANY | $19K | — | $19K | — |
| THE EMPLOYEE BENEFIT SERVICE CENTER5 | 4430 KANAWHA TURNPIKE SOUTH CHARLESTON, WV 25309 | TRANSAMERICA LIFE INSURANCE COMPANY | — | $17K | $17K | — |
| S&S HEALTHCARE3 | 1385 KEMPER MEADOW DR CINCINNATI, OH 45240 | TRANSAMERICA LIFE INSURANCE COMPANY | — | $14K | $14K | — |
| AVALON BENEFIT SERVICES5 | PO BOX 1803 DUBLIN, OH 43017 | TRANSAMERICA LIFE INSURANCE COMPANY | — | $9K | $9K | — |
| CLINIX HEALTHCARE5 | 3492 SNOUFFER RD SUITE 200 COLUMBUS, OH 43235 | TRANSAMERICA LIFE INSURANCE COMPANY | — | $3K | $3K | — |
| GERBER INSURANCE SERVICES3 Filed as: GERBER INSURANCE | 382 ARCH ST CHILLICOTHE, OH 45601 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | — |
No Schedule C service providers reported on this filing.
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 | 146 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRANSAMERICA LIFE INSURANCE COMPANY | 102 | $0 |
| Dental | METROPLOITAN LIFE INSURANCE COMPANY | 146 | $0 |
| Vision | METROPLOITAN LIFE INSURANCE COMPANY | 146 | $0 |
| Life insurance | METROPLOITAN LIFE INSURANCE COMPANY | 146 | $0 |
| Other | METROPLOITAN LIFE INSURANCE COMPANY | 146 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 146 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.