| 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 | $11K | $36K | $47K | 7.89% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN RD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $18K | $18K | 3.03% |
| UNITED OF OMAHA LIFE INSURANCE CO5 | MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $3K | $3K | 0.47% |
| MILESTONE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | DELTA DENTAL OF OHIO | $0 | $3K | $3K | 0.79% |
| MILESOTNE BENEFITS AGENCY INC3 | PO BOX 2038 POWELL, OH 43065 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 2.16% |
| SHAWN M THEIS3 | 3309 WESTERVILLE WOODS DR COLUMBUS, OH 43231 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 0.83% |
| AMBER D STEIN3 | 2740 AIRPORT DR STE 170 COLUMBUS, OH 43219 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 0.82% |
| AMBER D STEIN3 | 2740 AIRPORT DR STE 170 COLUMBUS, OH 43219 | CONTINENTAL AMERICAN INSURANCE COMPANY | $482 | $0 | $482 | 0.36% |
| JOHN D SUSIE3 | 8682 HAWICK CT N DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $470 | $0 | $470 | 0.35% |
| ADRIENNE HOLBROOK3 | 413 LILYFIELD LN GALLOWAY, OH 43119 | CONTINENTAL AMERICAN INSURANCE COMPANY | $458 | $0 | $458 | 0.34% |
| JAMES A BURRESS3 | 445 HUTCHINS AVE STE 820 COLUMBUS, OH 43235 | CONTINENTAL AMERICAN INSURANCE COMPANY | $449 | $0 | $449 | 0.34% |
| ASSURED NEACE LUKENS INS. AGENCY3 Filed as: CHRISTOPHER NEECE | 450 W WILSON BRIDGE RD STE 110 WORTHINGTON, OH 43085 | CONTINENTAL AMERICAN INSURANCE COMPANY | $441 | $0 | $441 | 0.33% |
| CAMERON CARRILLO3 | 5801 WESTCHESTER CT WORTHINGTON, OH 43085 | CONTINENTAL AMERICAN INSURANCE COMPANY | $293 | $0 | $293 | 0.22% |
| HARE AND ASSOCIATES LLC3 | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $269 | $0 | $269 | 0.20% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA L MANY | — | CONTINENTAL AMERICAN INSURANCE COMPANY | $199 | $0 | $199 | 0.15% |
| MARCUS WAYNE MCREE3 Filed as: MARCUS MCREE | 5758 ALFIE PL COLIMBUS, OH 43213 | CONTINENTAL AMERICAN INSURANCE COMPANY | $156 | $0 | $156 | 0.12% |
| JEREMY D NELSON3 | 474 CHERRY RD GAHANNA, OH 43230 | CONTINENTAL AMERICAN INSURANCE COMPANY | $141 | $0 | $141 | 0.11% |
| ANGELA D BUXTON3 | 12230 TRENTON ROAD GALENA, OH 43021 | CONTINENTAL AMERICAN INSURANCE COMPANY | $135 | $0 | $135 | 0.10% |
| BARBARBA MOOK3 | 2407 SUNLADEN DRIVE GROVE CITY, OH 43123 | CONTINENTAL AMERICAN INSURANCE COMPANY | $116 | $0 | $116 | 0.09% |
| TERRI J BUTLER3 | 1052 BEDDINGLFIELD PLACE WESTERVILLE, OH 43081 | CONTINENTAL AMERICAN INSURANCE COMPANY | $88 | $0 | $88 | 0.07% |
| CARL J HOWINGTON3 | 5389 HARVEST WOOD LANE GAHANNA, OH 43230 | CONTINENTAL AMERICAN INSURANCE COMPANY | $84 | $0 | $84 | 0.06% |
| JACK A SHADE3 | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $82 | $0 | $82 | 0.06% |
| ARVILLA CAUDY3 | 544 S CHAMPION AVE COLUMBUS, OH 43205 | CONTINENTAL AMERICAN INSURANCE COMPANY | $72 | $0 | $72 | 0.05% |
| KIMBERLY NIETO3 Filed as: KIMBERLY K NIETO | 5419 CLUB DRIVE WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $71 | $0 | $71 | 0.05% |
| RONALD J STEIN3 | 8800 LYRA DR STE 220 COLUMBUS, OH 43240 | CONTINENTAL AMERICAN INSURANCE COMPANY | $68 | $0 | $68 | 0.05% |
| MARKUS MUELLER3 | 633 NE MUSKRAT RUN PORT ST LUCIE, FL 34983 | CONTINENTAL AMERICAN INSURANCE COMPANY | $61 | $0 | $61 | 0.05% |
| STEVE NIETO3 | 5419 CLUB DRIVE WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $60 | $0 | $60 | 0.04% |
| JOHNNY HENSLEY JR3 Filed as: JOHNNY HEMSLEY JR | 9456 RIVIERA DR UNION, KY 41091 | CONTINENTAL AMERICAN INSURANCE COMPANY | $52 | $0 | $52 | 0.04% |
| PAULA GAIL NEAL3 Filed as: PAULA C CUTTER | — | CONTINENTAL AMERICAN INSURANCE COMPANY | $41 | $0 | $41 | 0.03% |
| HARE AND ASSOCIATES LLC3 Filed as: HARE AND ASSOC LLC | 7814 CRAINDOW CT DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $35 | $0 | $35 | 0.03% |
| OPPORTUNITY INC3 Filed as: OPPORTUNITY, INC | 9404 WOODCHIP LANE BROADVIEW HTS, OH 44147 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | $0 | $16 | 0.01% |
| JOHN D SUSIE3 | 8682 HAWICK CT N DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | $0 | $16 | 0.01% |
| ELFRIEDA HOHEISEL3 | 947 CREEK RUN CT WESTERVILLE, OH 43081 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | $0 | $5 | 0.00% |
| ANTHONY JOSEPH PROCACCINI3 | 67328 ZUNI COURT CATHEDRAL CITY, CA 92234 | ACE INSURANCE COMPANY | $1K | $0 | $1K | 19.99% |
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 | 612 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 615 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 1,227 | $332K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 1,204 | $86K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 612 | $592K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 612 | $592K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 612 | $592K |
| Stop-loss / reinsurancereinsurance | UNITEDHEALTHCARE INSURANCE COMPANY | 1,095 | $1.3M |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 941 | $731K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,227 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.