| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| OHIO AUTO DEALERS ASSN INS0 | 6515 LONGSHORE LOOP SUITE 320 DUBLIN, OH 43017 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $1K | $1K | 3.15% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | 2.59% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | 4.16% |
| OHIO AUTO DEALERS ASSN INS0 Filed as: OHIO AUTO DEALER ASSN INS | 6515 LONGSHORE LOOP SUITE 320 DUBLIN, OH 43017 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $899 | $899 | 2.93% |
| OHIO AUTO DEALERS ASSN INS0 | 6515 LONGSHORE LOOP SUITE 320 DUBLIN, OH 43017 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $94 | $94 | 1.13% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$73 | — | -$73 | -0.87% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $427 | — | $427 | 10.40% |
| OHIO AUTO DEALERS ASSN INS0 | 6515 LONGSHORE LOOP SUITE 320 DUBLIN, OH 43017 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $65 | $65 | 1.58% |
| OHIO AUTO DEALERS ASSN INS0 | 6515 LONGSHORE LOOP SUITE 320 DUBLIN, OH 43017 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $20 | $20 | 3.72% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $168 | — | $168 | 58.95% |
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 | 82 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 82 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 25 | $9K |
| Short-term disability(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 76 | $49K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 49 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 76 | — |
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.