| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $24K | — | $24K | 5.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIE INSURANCE COMPANY | $3K | — | $3K | 1.73% |
| HB CONSULTING ASSOC LLC3 | 6563 WILSON MILLS ROAD, SUITE 108 MAYFIELD VILLAGE, OH 44143 | RELIANCE STANDARD LIE INSURANCE COMPANY | — | $2K | $2K | 1.31% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 2.11% |
| HB CONSULTING ASSOC LLC3 | 6563 WILSON MILLS ROAD SUITE 108 MAYFIELD VILLAGE, OH 44143 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $2K | $2K | 1.16% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | — | $6K | 5.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| SMITH, THOMAS, CHRISTOPHER3 | 2928 FOSTER CREIGHTON DRIVE NASHVILLE, TN 37204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 7.30% |
| TABIT ARGANBRIGHT & HAZELBAKER INC.3 Filed as: TABIT ARGANBRIGHT & HAZELBAKER INC | 5007 PINE CREEK DRIVE WESTERVILLE, OH 43081 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $30 | $0 | $30 | 0.17% |
| THOMAS J SCURFIELD3 | 6563 WILSON MILLS ROAD SUITE 108 MAYFIELD VILLAGE, OH 44143 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14 | $0 | $14 | 0.08% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NATIONAL INC | 580 NORTH 4TH STREET, SUITE 400 COLUMBUS, OH 432152153 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | — | — | $0 | — |
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 | 2,110 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 70 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,815 | $323K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,045 | $475K |
| Short-term disability | RELIANCE STANDARD LIE INSURANCE COMPANY | 315 | $171K |
| Long-term disability(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,541 | $282K |
| Other(4 contracts, 3 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,045 | $526K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,541 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.