| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUMMEL GROUP INC3 | — | AULTCARE INSURANCE COMPANY | $15K | $0 | $15K | 0.53% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE | — | AULTCARE INSURANCE COMPANY | $15K | $0 | $15K | 0.53% |
| HUNTINGTON INSURANCE INC3 | 121 N MARKET ST WOOSTER, OH 44691 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | $3K | $8K | 9.86% |
| REDTAIL LTD3 | 9999 BREWSTER PLACE SUITE 100 POWELL, OH 43065 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 6.50% |
| MJ INSURANCE3 Filed as: VARIOUS AGENTS - SEE ATTACHED | — | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $15K | $0 | $15K | 20.62% |
| HUMMEL GROUP INC3 Filed as: HUMMEL GROUP | 461 WADSWORTH RD ORRVILLE, OH 44667 | EYEMED VISION CARE | $2K | $0 | $2K | 4.21% |
| HUNTINGTON INSURANCE - MILLERSBURG3 | 221 SOUTH CHURCH STREET BOWLING GREEN, OH 43402 | EYEMED VISION CARE | $2K | $0 | $2K | 4.21% |
| HUMMEL GROUP INC3 | PO BOX 250 BERLIN, OH 44610 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 12.84% |
| HUNTINGTON INSURANCE INC3 | 121 N MARKET ST WOOSTER, OH 44691 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | $636 | $3K | 8.44% |
| TRUE NETWORK ADVISORS3 | 383 GUNTER AVE GUNTERSVILLE, AL 35976 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $546 | $0 | $546 | 1.67% |
| LIFETIME FINANCIAL GROWTH OF N3 | — | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $42 | $0 | $42 | 0.13% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 650 E. CARMEL DR SUITE 400 CARMEL, IN 46032 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $364 | $2K | 18.35% |
| 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 | $5K | $832 | $6K | 113.81% |
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 | 324 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 328 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AULTCARE INSURANCE COMPANY | 259 | $2.8M |
| Vision | EYEMED VISION CARE | 644 | $36K |
| Life insurance(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 307 | $80K |
| Short-term disability(2 contracts) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 387 | $111K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 64 | $5K |
| Other(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 307 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 644 | — |
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.