| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $8K | $8K | 4.69% |
| MILESTONE BENEFITS AGENCY INC3 Filed as: MILESTONE BENEFITS AGCY INC | P. O. BOX 2038 POWELL, OH 43065 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | — | $6K | 4.83% |
| SHAWN M THEIS3 | 3309 WESTERVILLE WOODS DR COLUMBUS, OH 43231 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | $0 | $5K | 3.88% |
| JOHN D SUSIE3 Filed as: JOHN D. SUSIE | 8682 HAWICK CT N DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 2.01% |
| JAMES A BURRESS3 | 445 HUTCHINSON AVE SUITE 820 COLUMBUS, OH 43235 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.66% |
| JEREMY D NELSON3 | 474 CHERRY RD GAHANNA, OH 43230 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.42% |
| HARE AND ASSOCIATES LLC3 | 470 OLDE WORHTINGTON RD SUITE 250 WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 1.18% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA L MANY | 319 S MAIN ST NORTH STAR, MI 48862 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 0.88% |
| ARVILLA CAUDY3 | 544 S. CHAMPION AVE. COLUMBUS, OH 43205 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.83% |
| MARCUS WAYNE MCREE3 Filed as: MARCUS MCREE | 763 WOODCREEK CT APT 101 YPSILANTI, MI 48198 | CONTINENTAL AMERICAN INSURANCE COMPANY | $975 | — | $975 | 0.73% |
| BARBARA MOOK3 | 2047 SUNLADEN DRIVE GROVE CITY, OH 43123 | CONTINENTAL AMERICAN INSURANCE COMPANY | $894 | — | $894 | 0.67% |
| CARL J HOWINGTON3 Filed as: CARL J. HOWINGTON | 494 S. HAMILTON RD APT 35 WHITEHALL, OH 43213 | CONTINENTAL AMERICAN INSURANCE COMPANY | $812 | — | $812 | 0.61% |
| STEVE NIETO3 | 5419 CLUB DRIVE WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $739 | — | $739 | 0.56% |
| TERRI J BUTLER3 Filed as: TERRI BUTLER | 1052 BEDDINGFIELD PLACE WESTERVILLE, OH 43081 | CONTINENTAL AMERICAN INSURANCE COMPANY | $680 | — | $680 | 0.51% |
| KIMBERLY NIETO3 | 5419 CLUB DRIVE WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $437 | — | $437 | 0.33% |
| JACK A SHADE3 | 470 OLDE WORTHINGTON ROAD STE 250 WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $394 | — | $394 | 0.30% |
| RONALD JAMES STEIN3 Filed as: RONALD STEIN | 12347 MONKEY HOLLOW SUNBURY, OH 43074 | CONTINENTAL AMERICAN INSURANCE COMPANY | $385 | — | $385 | 0.29% |
| MARKUS MUELLER3 | 633 MUSKRAT RUN PORT STL LUCIE, FL 34983 | CONTINENTAL AMERICAN INSURANCE COMPANY | $366 | — | $366 | 0.28% |
| PAULA GAIL NEAL3 Filed as: PAULA C CUTTER | 945 STAR SHOOT PKWY LEXINGTON, KY 40509 | CONTINENTAL AMERICAN INSURANCE COMPANY | $251 | $0 | $251 | 0.19% |
| OPPORTUNITY INC3 Filed as: OPPORTUNITY, INC. | 9150 SOUTH HILLS BLVD STE 250 BORADVIEW HTS, OH 44147 | CONTINENTAL AMERICAN INSURANCE COMPANY | $114 | — | $114 | 0.09% |
| JOHN D SUSIE3 Filed as: JOHN SUSIE | 8682 HAWICK CT N DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $114 | — | $114 | 0.09% |
| BRYAN KEITH FRIZZELL3 Filed as: BRYAN K FRIZZELL | 1103 SCHROCK RD SUITE 201 COLUMBUS, OH 43235 | CONTINENTAL AMERICAN INSURANCE COMPANY | $25 | — | $25 | 0.02% |
| JOHNNY HENSLEY JR3 Filed as: JOHNNY HENSLEY, JR. | 975 SAUTTER DRIVE MANSFILED, OH 44904 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | — | $16 | 0.01% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $5K | $5K | 4.89% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $4K | $4K | 4.59% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $4K | $4K | 4.72% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $957 | $10K | 16.52% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $112 | $112 | — |
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 | 742 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 743 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION CARE | 1,555 | $91K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 742 | $76K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 632 | $169K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 742 | $93K |
| Stop-loss / reinsurancereinsurance | UNITEDHEALTHCARE INSURANCE COMPANY | 1,368 | $1.2M |
| Other(4 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 742 | $381K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,555 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.