| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TABIT ARGANBRIGHT & HAZELBAKER INC.3 Filed as: TABIT ARGANBRIGHT & HAZELBAKER, INC | 5007 PINE CREEK DRIVE WESTERVILLE, OH 43081 | COMMUNITY INSURANCE COMPANY | $25K | $2K | $26K | 2.98% |
| TABIT ARGANBRIGHT & HAZELBAKER INC.3 Filed as: TABIT ARGANBRIGHT & HAZELBAKER, INC | 5007 PINE CREEK DRIVE WESTERVILLE, OH 43081 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 11.02% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST. MORRIS, IL 60450 | HARTFORD LIFE AND ACCIDENT | $0 | $956 | $956 | 2.92% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS. & FINANCIAL SERVIC | 50 MAIN STREET SUITE 320 WHITE PLAINS, NC 10606 | HARTFORD LIFE AND ACCIDENT | $0 | $951 | $951 | 2.91% |
| TABIT ARGANBRIGHT & HAZELBAKER INC.3 Filed as: TABIT ARGANBRIGHT & HAZELBAKER, INC | 5007 PINE CREEK DRIVE WESTERVILLE, OH 430814849 | PACIFIC LIFE & ANNUITY COMPANY | $3K | — | $3K | 10.00% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS INC. | 422 WAUPONSEE ST. MORRIS, IA 60450 | PACIFIC LIFE & ANNUITY COMPANY | $1K | — | $1K | 5.00% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE & FINANCIAL | TIFFANY STILLER 12404 PARK CENTRAL DRIVE, STE. 400S DALLAS, TX 75251 | DELTA DENTAL OF OHIO | $1K | — | $1K | 5.15% |
| TABIT ARGANBRIGHT & HAZELBAKER INC.3 Filed as: TABIT ARGANBRIGHT & HAZELBAKER, INC | JOHN HAZELBAKER 5007 PINE CREEK DR. WESTERVILLE, OH 43081 | DELTA DENTAL OF OHIO | $1K | — | $1K | 4.47% |
| TABIT ARGANBRIGHT & HAZELBAKER INC.3 Filed as: TABIT ARGANBRIGHT & HAZELBAKER INC | JOHN HAZELBAKER 5007 PINE CREEK DR. WESTERVILLE, OH 43081 | DELTA DENTAL OF OHIO | $573 | — | $573 | 10.06% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SERVICE | TIFFANY STILLER 12404 PARK CENTRAL DRIVE #400S DALLAS, TX 75251 | DELTA DENTAL OF OHIO | $229 | — | $229 | 4.02% |
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 | 147 | 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) | 147 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 100 | $881K |
| Dental(2 contracts, 2 carriers) | PACIFIC LIFE & ANNUITY COMPANY | 147 | $58K |
| Vision(2 contracts, 2 carriers) | PACIFIC LIFE & ANNUITY COMPANY | 147 | $35K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 144 | $33K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 144 | $33K |
| Other | HARTFORD LIFE AND ACCIDENT | 144 | $33K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 147 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.