| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DKG INSURANCE AND FINANCIAL SERVICE3 | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | MEDICAL MUTUAL OF OHIO | $44K | $0 | $44K | 4.43% |
| DKG INSURANCE & FINANCIAL SERVICES3 | 110 E WILSON BRIDGE ROAD SUITE 260 WORTHINGTON, OH 43085 | AMERITAS | $3K | $0 | $3K | 3.54% |
| DKG INSURANCE AND FINANCIAL SERVICE3 | 110 E. WILSON BRIDGE ROAD SUITE 260 WORTHINGTON, OH 43085 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 7.31% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS FIN SERVICE | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | STANDARD INSURANCE COMPANY | $1K | $0 | $1K | 3.32% |
| DKG INSURANCE AND FINANCIAL SERVICE3 | 110 E. WILSON BRIDGE ROAD SUITE 260 WORTHINGTON, OH 43085 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 7.40% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS FIN SERVICES | 12404 PARK CENTRAL SUITE 400S DALLAS, TX 75251 | STANDARD INSURANCE COMPANY | $976 | $0 | $976 | 3.32% |
| DKG INSURANCE AND FINANCIAL SERVICE3 | 110 E. WILSON BRIDGE ROAD SUITE 260 WORTHINGTON, OH 43085 | STANDARD INSURANCE COMPANY | $3K | $0 | $3K | 13.42% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS FIN SERVICES | 12404 PARK SUITE 400S DALLAS, TX 75251 | STANDARD INSURANCE COMPANY | $728 | $0 | $728 | 3.32% |
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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEDICAL MUTUAL OF OHIO | 107 | $1.0M |
| Dental | AMERITAS | 222 | $81K |
| Vision | AMERITAS | 222 | $81K |
| Life insurance | STANDARD INSURANCE COMPANY | 119 | $30K |
| Short-term disability | STANDARD INSURANCE COMPANY | 119 | $29K |
| Long-term disability | STANDARD INSURANCE COMPANY | 119 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 222 | — |
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.