| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT E KEMMER3 | P.O. BOX 352 BUFFALO, OH 43722 | AFLAC | $10K | $447 | $11K | 5.25% |
| W B GREEN & CO INC3 | 626 WHEELING AVE CAMBRIDGE, OH 43725 | AFLAC | $7K | — | $7K | 3.42% |
| GAYLORD I KAUFFMAN3 Filed as: GAYLORD KAUFFMAN | 315 GREEN RIDGE ROAD SUITE H1 NEW CASTLE, PA 15105 | AFLAC | $1K | — | $1K | 0.52% |
| ABBY CORDER3 | 1165 GREINER RD ZANESVILLE, OH 43701 | AFLAC | $941 | $105 | $1K | 0.51% |
| MARK D JONES3 | 306 CUNNINGHAM RUN RD PENNSBORO, WV 26415 | AFLAC | $1K | — | $1K | 0.51% |
| RONALD JAMES STEIN3 Filed as: RONALD STEIN | 14966 ROBINS RD JOHNSTOWN, OH 43031 | AFLAC | $1K | — | $1K | 0.50% |
| HEATHER SONAGERE3 | 1032 BELFORD ST CALDWELL, OH 43724 | AFLAC | $781 | $75 | $856 | 0.42% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA L MANY | 586 SLATE HILL DR COLUMBUS, OH 43085 | AFLAC | $542 | — | $542 | 0.26% |
| HARE AND ASSOCIATES LLC3 | 6324 TARTON FIELDS LN MASON, OH 45040 | AFLAC | $398 | $105 | $503 | 0.24% |
| DOUGLAS LANDENBERGER3 | 7038 WIND ROSE WAY DUBLIN, OH 43016 | AFLAC | $491 | — | $491 | 0.24% |
| MARK L HUFHAND3 Filed as: MARK HUFHAND | 3313 LEE ST NW NORTH CANTON, OH 44720 | AFLAC | $464 | — | $464 | 0.23% |
| HENSLEY AND ASSOCIATES LLC3 | 1103 SCHROCK RD STE 201 COLUMBUS, OH 43229 | AFLAC | $313 | — | $313 | 0.15% |
| JACK A SHADE3 | 690 TREE BEND CT WESTERVILLE, OH 43082 | AFLAC | $257 | — | $257 | 0.12% |
| JAMES A BURRESS3 | 8755 OGDEN DUNES DR CAMBY, IN 46113 | AFLAC | $242 | — | $242 | 0.12% |
| QUINN, MEYER & ASSOCIATES3 | 10800 WINCHCOMBE DR DUBLIN, OH 43016 | AFLAC | $231 | — | $231 | 0.11% |
| JORDAN FUNK3 | 917 COUNTY ROAD 100 N THOMPSONVILLE, IL 62890 | AFLAC | $221 | — | $221 | 0.11% |
| BRUCE MEYER3 | 10800 WINCHCOMBE DR DUBLIN, OH 43016 | AFLAC | $161 | — | $161 | 0.08% |
| TRACY D BURGA3 Filed as: TRACY BURGA | 160 PIKE ST QUAKER CITY, OH 43773 | AFLAC | $147 | — | $147 | 0.07% |
| MARK A SHERBY3 | 293 S 4TH STREET BYESVILLE, OH 43723 | AFLAC | $143 | — | $143 | 0.07% |
| KAREN SUTPHIN3 | 81 TABLE ROCK LANE WHEELING, WV 26003 | AFLAC | $126 | — | $126 | 0.06% |
| PENNY NICHOLSON3 | 209 KENWOOD AVE MARIETTA, OH 45750 | AFLAC | $118 | — | $118 | 0.06% |
| SCOTT A SMITH3 | 5300 OAKBROOK PKWY BLDG 300 STE 350 NORCROSS, GA 30093 | AFLAC | $106 | — | $106 | 0.05% |
| MARCUS WAYBE MCREE3 | 5758 ALFIE PL COLUMBUS, OH 43213 | AFLAC | $90 | — | $90 | 0.04% |
| JOSHUA K HOPPE3 | 85076 MAJESTIC WALK CIR FERNANDINA BEACH, FL 32034 | AFLAC | $87 | — | $87 | 0.04% |
| MICHAEL TAYLOR3 | 3315 MOUNT ZWINGLI RD SE BREMEN, OH 43107 | AFLAC | $77 | — | $77 | 0.04% |
| DUSTIN P WILSON3 | 62900 DUSTY LN BARNESVILLE, OH 43713 | AFLAC | $74 | — | $74 | 0.04% |
| LUCI WILLIAMS3 | 637 WILEY AVE BARNESVILLE, OH 43713 | AFLAC | $57 | — | $57 | 0.03% |
| LINDA L LEONARD3 | 448 PRIVATE RD 3290 SOUTH POINT, OH 45680 | AFLAC | $50 | — | $50 | 0.02% |
| JOHN C RASCHELLA3 | 20521 TAHITIAN BLVD ESTERO, FL 33928 | AFLAC | $50 | — | $50 | 0.02% |
| GREGORY F STENZEL3 | 1249 KIOWA DR W GAINESVILLE, TX 76240 | AFLAC | $40 | — | $40 | 0.02% |
| RANDY M SOMERMAN3 Filed as: RANDY SOMERMAN | 5009 GREEN ASH TRL MEDINA, OH 44256 | AFLAC | $38 | — | $38 | 0.02% |
| RONALD J GRETHEL3 | 648 HANNA AVE LOVELAND, OH 45140 | AFLAC | $33 | — | $33 | 0.02% |
| MARKUS MUELLER3 | 633 NE MUSKRAT RUN PORT ST LUCIE, FL 34983 | AFLAC | $31 | — | $31 | 0.02% |
| DANIELLE C DUNN3 | 185 S COLUMBIA AVE COLUMBUS, OH 43209 | AFLAC | $27 | — | $27 | 0.01% |
| ADRIENNE HOLBROOK3 Filed as: ADRIENNE ALICE MENCHYACA HOLBROOK | 413 LILLYFIELD LN GALLOWAY, OH 43119 | AFLAC | $27 | — | $27 | 0.01% |
| DARREN L BRUNO3 | 1224 WESTWOOD DR LEWIS CENTER, OH 43035 | AFLAC | $26 | — | $26 | 0.01% |
| ADAM R HOLLINGSHEAD3 | 463 TAYLOR ST ZANESVILLE, OH 43701 | AFLAC | $21 | — | $21 | 0.01% |
| MELISSA SUE DALRYMPLE3 | 737 SMITH RD WATERFORD, OH 45786 | AFLAC | $17 | — | $17 | 0.01% |
| CAMERON CARRILLO3 Filed as: CAMERON D CARRILLO | 5801 WESTCHESTER CT WORTHINGTON, OH 43017 | AFLAC | $16 | — | $16 | 0.01% |
| JOHN D SUSIE3 | 8682 HAWICK CT N DUBLIN, OH 43017 | AFLAC | $13 | — | $13 | 0.01% |
| DAVID P AESOPH3 | 2700 W NICOLE DR SIOUX FALLS, SD 57105 | AFLAC | $7 | — | $7 | 0.00% |
| KRIS D SHADE3 | 690 TREE BEND CT WESTERVILLE, OH 43082 | AFLAC | $5 | — | $5 | 0.00% |
| OPPORTUNITY INC3 | 9404 WOODCHIP LN BROADVIEW HEIGHTS, OH 44147 | AFLAC | $4 | — | $4 | 0.00% |
| JAMES D DUDLEY3 | 1355 LYNNFIELD RD, SUITE 259 MEMPHIS, TN 38119 | AFLAC | $1 | — | $1 | 0.00% |
| THE FORKER COMPANY3 | 964 GROVE RD ZANESVILLE, OH 43701 | NORTHWESTERN MUTUAL | $4K | $1K | $6K | 11.89% |
| KEMELGOR FNCL GRP INC3 | 800 YARD ST, SUITE 300 COLUMBUS, OH 43212 | NORTHWESTERN MUTUAL | $862 | $103 | $965 | 2.08% |
| THE FORKER COMPANY3 | 964 GROVE RD ZANESVILLE, OH 43701 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $875 | $246 | $1K | 3.15% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS - IND | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $657 | $411 | $1K | 3.00% |
| VHA MID-AMERICA INSURANCE SERVICES3 | 7415 W 130TH ST, STE 200 OVERLAND PARK, KS 66213 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $329 | — | $329 | 0.93% |
| W B GREEN & CO INC3 Filed as: W. B. GREEN & CO INC | 626 WHEELING AVENUE CAMBRIDGE, OH 43725 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $367 | — | $367 | 2.52% |
| WILLIAM H. MEYER AGENCY, INC.3 Filed as: WILLIAM H. MEYER AGY INC | 1660 NW PROFESSIONAL PLAZA COLUMBUS, OH 43220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $284 | — | $284 | 1.95% |
| JAMES D THOMAS3 | 5451 ST ANDREWS DRIVE WESTERVILLE, OH 43082 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $113 | — | $113 | 0.77% |
| DWAINE K HOWELL3 | 79 LAKEVIEW DRIVE THORNVILLE, OH 43076 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $47 | — | $47 | 0.32% |
| HEALTHCARE REFORM ALTERNATIVES LLC3 | 2706 BAR HARBOUR CT LEWIS CENTER, OH 43035 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $35 | — | $35 | 0.24% |
| RICHARD CLOSE3 | 4303 TRUEMAN BLVD HILLIARD, OH 43026 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $27 | — | $27 | 0.19% |
| HARLEY J MURRAY3 Filed as: HARLEY MURRAY | 705 N STATE ST WESTERVILLE, OH 43082 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 0.14% |
| PETERSON FINANCIAL INC3 Filed as: PETERSON FINANCIAL INC. | 548 CANTON ROAD WINTERSVILLE, OH 43953 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | — | $17 | 0.12% |
| KEVIN D HOWELL3 | 60 WEST COLUMBUS STREET THORNVILLE, OH 43076 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.08% |
| DAVID L DUNCAN3 | 3106 DREW DRIVE HAMILTON, OH 45011 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.03% |
| WILLIAM T. DUNCAN3 Filed as: WILLIAM T DUNCAN | 2209 LINDEN AVE MIDDLETOWN, OH 45044 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.02% |
| DAVID L SMELCER3 Filed as: DAVID LEE SMELCER | PO BOX 279 MAUMEE, OH 43537 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
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 | 689 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 16 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 711 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AFLAC | 222 | $206K |
| Vision(2 contracts, 2 carriers) | AFLAC | 498 | $339K |
| Life insurance(3 contracts, 3 carriers) | AFLAC | 643 | $256K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 222 | $221K |
| Long-term disability | NORTHWESTERN MUTUAL | 65 | $46K |
| Other(3 contracts, 3 carriers) | AFLAC | 643 | $256K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 643 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.