| 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 | $11K | $11K | 5.60% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $6K | $6K | 2.80% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $12K | $12K | 8.67% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $6K | $6K | 4.33% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 2.94% |
| SHAWN M THEIS3 Filed as: SHAWN THEIS | 3309 WESTERVILLE WOODS DR COLUMBUS, OH 43231 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 2.18% |
| AMBER D STEIN3 | 2740 AIRPORT DR STE 170 COLUMBUS, OH 43219 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 1.13% |
| JOHN D SUSIE3 | 8682 HAWICK CT N DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 0.98% |
| JAMES A BURRESS3 | 445 HUTCHINSON AVE SUITE 820 COLUMBUS, OH 43235 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 0.88% |
| HARE AND ASSOCIATES LLC3 | 470 OLDE WORTHINGTON RD SUITE 250 WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $679 | $0 | $679 | 0.53% |
| JOHNNY HENSLEY JR3 Filed as: JOHNNY HENSLEY, JR. | 975 SAUTTER DRIVE MANSFIELD, OH 44904 | CONTINENTAL AMERICAN INSURANCE COMPANY | $549 | $0 | $549 | 0.43% |
| ANGELA D BUXTON3 | 12230 TRENTON ROAD GALENA, OH 43021 | CONTINENTAL AMERICAN INSURANCE COMPANY | $498 | $0 | $498 | 0.39% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA L MANY | 319 S MAIN ST NORTH STAR, MI 48862 | CONTINENTAL AMERICAN INSURANCE COMPANY | $489 | $0 | $489 | 0.38% |
| HARE AND ASSOCIATES LLC3 Filed as: HARE AND ASSOC LLC | 7814 CRAINDOW CT DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $341 | $0 | $341 | 0.27% |
| MARCUS WAYNE MCREE3 Filed as: MARCUS MCREE | 5758 ALFIE PL COLUMBUS, OH 43213 | CONTINENTAL AMERICAN INSURANCE COMPANY | $327 | $0 | $327 | 0.26% |
| JEREMY D NELSON3 | 474 CHERRY RD GAHANNA, OH 43230 | CONTINENTAL AMERICAN INSURANCE COMPANY | $286 | $0 | $286 | 0.22% |
| BARBARA MOOK3 | 2407 SUNLADEN DRIVE GROVE CITY, OH 43123 | CONTINENTAL AMERICAN INSURANCE COMPANY | $285 | $0 | $285 | 0.22% |
| ARVILLA CAUDY3 | 544 S CHAMPION AVE COLUMBUS, OH 43205 | CONTINENTAL AMERICAN INSURANCE COMPANY | $254 | $0 | $254 | 0.20% |
| TERRI J BUTLER3 | 1052 BEDDINGFIELD PLACE WESTERVILLE, OH 43081 | CONTINENTAL AMERICAN INSURANCE COMPANY | $220 | $0 | $220 | 0.17% |
| JACK A SHADE3 | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $219 | $0 | $219 | 0.17% |
| CARL J HOWINGTON3 | 5389 HARVEST WOOD LANE GAHANNA, OH 43230 | CONTINENTAL AMERICAN INSURANCE COMPANY | $210 | $0 | $210 | 0.16% |
| KIMBERLY NIETO3 Filed as: KIMBERLY K NIETO | 5419 CLUB DRIVE WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $203 | $0 | $203 | 0.16% |
| MARKUS MUELLER3 | 633 NE MUSKRAT RUN PORT ST LUCIE, FL 34983 | CONTINENTAL AMERICAN INSURANCE COMPANY | $174 | $0 | $174 | 0.14% |
| STEVE NIETO3 | 5419 CLUB DRIVE WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $165 | $0 | $165 | 0.13% |
| RONALD JAMES STEIN3 Filed as: RONALD STEIN | 8800 LYRA DR SUITE 220 COLUMBUS, OH 43240 | CONTINENTAL AMERICAN INSURANCE COMPANY | $152 | $0 | $152 | 0.12% |
| PAULA GAIL NEAL3 Filed as: PAULA C CUTTER | 445 HUTCHINSON AVENUE COLUMBUS, OH 43235 | CONTINENTAL AMERICAN INSURANCE COMPANY | $110 | $0 | $110 | 0.09% |
| JOHN D SUSIE3 | 8682 HAWICK CT N DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | $0 | $38 | 0.03% |
| OPPORTUNITY INC3 Filed as: OPPORTUNITY, INC. | 9404 WOODCHIP LANE BROADVIEW, OH 44147 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | $0 | $38 | 0.03% |
| ELFRIEDA HOHEISEL3 | 947 CREEK RUN CT WESTERVILLE, OH 43081 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | $0 | $10 | 0.01% |
| CAMERON CARRILLO3 | 5801 WESTCHESTER CT WORTHINGTON, OH 43085 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | $0 | $7 | 0.01% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $5K | $5K | 5.50% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.75% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $5K | $5K | 5.60% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.80% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | $4K | $13K | 20.58% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.79% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 160 GUTHRIE LANE, #22 BRENTWOOD, CA 94513 | ACE AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 20.00% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $154 | $154 | — |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $77 | $77 | — |
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 | 667 | 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) | 668 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 1,375 | $357K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 1,398 | $83K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 667 | $227K |
| Short-term disability(3 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 550 | $262K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 666 | $82K |
| Stop-loss / reinsurancereinsurance | UNITEDHEALTHCARE INSURANCE COMPANY | 1,235 | $1.1M |
| Other(3 contracts, 3 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 2,000 | $219K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,000 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.