| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLEARPATH BENEFIT ADVISORS LLC3 | 300 SPRUCE ST STE 250 COLUMBUS, OH 43215 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | — | $10K | 12.12% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY (G1728) EIN 31-1440175 PRESCRIPTION DRUG/ADMIN | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Float revenue Service code 12 | — | $289K |
| COMMUNITY INSURANCE COMPANY | Contract Administrator; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $144K |
| CLEARPATH BENEFITS ADVISORS LLC | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | — | $50K |
| CLEARPATH BENEFIT ADVISORS LLC EIN 46-1168380 SALES/BASE COMMISSION | Insurance agents and brokers; Other commissions; Insurance brokerage commissions and fees Service code 22 | 777 GOODALE BLVD, STE 200 COLUMBUS, OH 43212 | $0 |
| INGENIO RX, INC EIN 82-3062245 ADMIN SERVICE PROVIDER | Contract Administrator; Other services; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue Service code 12 | — | -$105K |
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 | 611 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 611 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 661 | $80K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 661 | $80K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 661 | $80K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY (G1728) | 925 | $341K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 661 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 925 | — |
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."
No prospect flags tripped on this filing.