| 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 | 2.96% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | 2.63% |
| OHIO AUTO DEALERS ASSN INS0 | 6515 LONGSHORE LOOP SUITE 320 DUBLIN, OH 43017 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $819 | $819 | 2.67% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $559 | — | $559 | 1.82% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $98 | — | $98 | 1.45% |
| OHIO AUTO DEALERS ASSN INS0 | 6515 LONGSHORE LOOP SUITE 320 DUBLIN, OH 43017 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $78 | $78 | 1.16% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $286 | — | $286 | 6.51% |
| OHIO AUTO DEALERS ASSN INS0 | 6515 LONGSHORE LOOP SUITE 320 DUBLIN, OH 43017 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $70 | $70 | 1.59% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $103 | — | $103 | 22.69% |
| OHIO AUTO DEALERS ASSN INS0 | 6515 LONGSHORE LOOP SUITE 320 DUBLIN, OH 43017 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $12 | $12 | 3.64% |
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 | 85 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 85 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 20 | $8K |
| Short-term disability(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 61 | $47K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 41 | $31K |
| Stop-loss / reinsurancereinsurance(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 12 | $784 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 61 | — |
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.