| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | 5455 RINGS ROAD, SUITE 250 ATRIUM 2 SOUTH TOWER DUBLIN, OH 43017 | UNITEDHEALTHCARE INSURANCE COMPANY | $20K | $0 | $20K | 4.00% |
| USI INSURANCE SERVICES LLC3 | 408 9TH STREET HUNTINGTON, WV 25701 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | $0 | $6K | 11.55% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 7.62% |
| USI INSURANCE SERVICES LLC3 | 408 9TH STREET HUNTINGTON, WV 25701 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | $4K | $8K | 20.51% |
| INTEGRATED EMPLOYEE BENEFIT SOLUTIO3 | 5880 VENTURE DRIVE DUBLIN, OH 43017 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $71 | $5K | 13.26% |
| MARK CHRISTOPHER MOTZ3 | 85 EPERNAY AVENUE PATASKALA, OH 43062 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $88 | $8 | $96 | 0.24% |
| HOWARD MESZAROS3 | 8680 COLVIN DRIVE PLAIN CITY, OH 43064 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $62 | $0 | $62 | 0.16% |
| JENNIFER LOEFFLER3 | 4455 MASON ROAD CANAL WINCHESTER, OH 43110 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $47 | $12 | $59 | 0.15% |
| KELLY CRUSE3 | 6337 BIRCHVIEW DRIVE SOUTH REYNOLDSBURG, OH 43068 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $56 | $0 | $56 | 0.14% |
| SHERRIE LYNN BUCHANAN3 | 815 SAVANNAH DRIVE COLUMBUS, OH 43228 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $22 | $4 | $26 | 0.07% |
| MJ INSURANCE3 Filed as: PAUL GRAUER AND VARIOUS AGENTS | 2190 DRUMLIN DRIVE DUBLIN, OH 43123 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7 | $0 | $7 | 0.02% |
| USI INSURANCE SERVICES LLC3 | 5455 RINGS ROAD, SUITE 250 ATRIUM 2 SOUTH TOWER DUBLIN, OH 43017 | COMMUNITY INSURANCE COMPANY | $4K | $0 | $4K | 10.00% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | EYEMED | $448 | $0 | $448 | 8.28% |
| USI INSURANCE SERVICES LLC3 | 5880 VENTURE DRIVE, SUITE D DUBLIN, OH 43017 | EYEMED | $87 | $0 | $87 | 1.61% |
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 | 114 | 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. |
| Total participants (= "Plan participants" tile) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 125 | $511K |
| Dental | COMMUNITY INSURANCE COMPANY | 76 | $35K |
| Vision | EYEMED | 120 | $5K |
| Life insurance(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 114 | $96K |
| Short-term disability(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 114 | $96K |
| Long-term disability(2 contracts) | SUN LIFE ASSURANCE COMPANY OF CANADA | 114 | $96K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 125 | $511K |
| Other(3 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 114 | $136K |
| 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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.