| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE EMPLOYEE BENEFIT SERVICE CENTER3 | 4430 KANAWHA TURNPIKE SOUTH CHARLESTON, WV 45240 | SIRIUS AMERICA INSURANCE COMPANY | — | $27K | $27K | — |
| GERBER INSURANCE SERVICES3 | 63 EXECUTIVE DR CHILLICOTHE, OH 45601 | SIRIUS AMERICA INSURANCE COMPANY | $16K | — | $16K | — |
| S&S HEALTH CARE3 | 1385 KEMPER MEADOW DR CINCINNATI, OH 45240 | SIRIUS AMERICA INSURANCE COMPANY | — | $14K | $14K | — |
| QUALITY CARE PARTNERS5 | 33 SOUTH 5TH ST ZANESVILLE, OH 43701 | SIRIUS AMERICA INSURANCE COMPANY | — | $4K | $4K | — |
| GERBER INSURANCE SERVICES3 Filed as: GERBER INSURANCE AGENCY INC | 63 EXECUTIVE DR CHILLICOTHE, OH 45601 | NATIONWIDE LIFE INSURANCE COMPANY | $1K | — | $1K | — |
| EMILY G POE3 | PO BOX 261 CHILLICOTHE, OH 45601 | NATIONWIDE LIFE INSURANCE COMPANY | $339 | — | $339 | — |
| GERBER INSURANCE SERVICES3 Filed as: GERBER INSURANCE AGENCY | 63 EXECUTIVE DR CHILLICOTHE, OH 45601 | RELIANCE STANDARD 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 | 125 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIRIUS AMERICA INSURANCE COMPANY | 81 | $0 |
| Dental(2 contracts, 2 carriers) | NATIONWIDE LIFE INSURANCE COMPANY | 125 | $0 |
| Vision(2 contracts, 2 carriers) | NATIONWIDE LIFE INSURANCE COMPANY | 125 | $0 |
| Life insurance(2 contracts, 2 carriers) | NATIONWIDE LIFE INSURANCE COMPANY | 125 | $0 |
| Other(2 contracts, 2 carriers) | NATIONWIDE LIFE INSURANCE COMPANY | 125 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 125 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.