| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE | 212 NORTH WASHINGTON ST MILLERSBURG, OH 446541536 | AULTCARE INSURANCE COMPANY | $15K | $0 | $15K | 0.68% |
| HUMMEL GROUP INC3 | 4585 STATE ROUTE 39 BERLIN, OH 44610 | AULTCARE INSURANCE COMPANY | $15K | $0 | $15K | 0.68% |
| GARY MOSELEY3 | 1760 TOWNSHIP RD 55 BELLEFONTAINE, OH 43311 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10K | $0 | $10K | 15.53% |
| NICOLE MOSELEY3 | 3700 SHAGBSBARK TRAIL GALENA, OH 43021 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | $0 | $4K | 6.20% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 650 EAST CARMEL DR STE 350 CARMEL, IN 46032 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.42% |
| JOSEPH E TROIANO3 | 2854 LYTLE RD CENTERBURG, OH 43011 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $125 | $0 | $125 | 0.19% |
| JESSICA GORDON3 | 2955 SYCAMORE LN BLOOMSBURG, PA 17815 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $112 | $0 | $112 | 0.17% |
| SHAWN L MOSELEY3 | 3700 SHAGBSBARK TRAIL GALENA, OH 43021 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $15 | $0 | $15 | 0.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 2850 GOLF ROAD #1000 ROLLING MEADOWS, IL 60008 | EYEMED VISION CARE | $1K | $0 | $1K | 4.48% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD 5TH FLOOR ROLLING MEADOWS, IL 60008 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 7.68% |
| GARY MOSELY3 | PO BOX 177 ZANSFIELD, OH 43360 | ASSURITY LIFE INSURANCE COMPANY | $4K | $0 | $4K | 16.24% |
| NICOLE MOSELY3 | PO BOX 177 ZANSFIELD, OH 43360 | ASSURITY LIFE INSURANCE COMPANY | $905 | $0 | $905 | 4.07% |
| DOUGLAS GEORGE KEELER3 | PO BOX 177 ZANSFIELD, OH 43360 | ASSURITY LIFE INSURANCE COMPANY | $87 | $0 | $87 | 0.39% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 6967 S RIVER GATE DR STE 200 MIDVALE, UT 84047 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $975 | $0 | $975 | 13.99% |
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 | 294 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 294 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AULTCARE INSURANCE COMPANY | 609 | $2.2M |
| Vision | EYEMED VISION CARE | 354 | $30K |
| Life insurance(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 294 | $71K |
| Short-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 71 | $48K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 55 | $26K |
| Other(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 294 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 609 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.