| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANDREW INSURANCE ASSOCIATES INC3 | 9912 BREWSTER LN POWELL, OH 43065 | COMMUNITY INSURANCE COMPANY | $24K | — | $24K | 2.03% |
| BROKERNET INC3 | 110 NORTHWOODS BLVD STE C COLUMBUS, OH 43235 | COMMUNITY INSURANCE COMPANY | $117 | — | $117 | 0.01% |
| ANDREW INSURANCE ASSOCIATES INC3 Filed as: ANDREW INSURANCE ASSOCIATED INC | 9912 BREWSTER LN POWELL, OH 43065 | COMMUNITY INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| ANDREW INSURANCE ASSOCIATES INC3 | 9912 BREWSTER LN POWELL, OH 43065 | ANTHEM LIFE INSURANCE COMPANY | $3K | — | $3K | 12.33% |
| BROKERNET INC3 | 110 NORTHWOODS BLVD STE C COLUMBUS, OH 43235 | ANTHEM LIFE INSURANCE COMPANY | $217 | — | $217 | 0.93% |
| ANDREW INSURANCE ASSOCIATES INC3 | 9912 BREWSTER LN POWELL, OH 43065 | ANTHEM LIFE INSURANCE COMPANY | $3K | — | $3K | 12.32% |
| BROKERNET INC3 | 110 NORTHWOODS BLVD STE C COLUMBUS, OH 43235 | ANTHEM LIFE INSURANCE COMPANY | $392 | — | $392 | 1.68% |
| ERICA J LEONHARDT3 | 9000 FRANCINE LN POWELL, OH 43065 | AMERICAN HERITAGE LIFE INSURANCE COMPANY/ALLSTATE | $2K | — | $2K | 16.51% |
| SJ ANDREWS HOLDINGS LLC3 | 104 E COLLEGE AVE WESTERVILLE, OH 43081 | AMERICAN HERITAGE LIFE INSURANCE COMPANY/ALLSTATE | $726 | — | $726 | 5.89% |
| THOMAS W BOSTON3 | 1275 W MAPLE ST HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY/ALLSTATE | $91 | — | $91 | 0.74% |
| ARMIN G LEONHARDT3 | 9000 FRANCINE LN POWELL, OH 43065 | AMERICAN HERITAGE LIFE INSURANCE COMPANY/ALLSTATE | $56 | — | $56 | 0.45% |
| THOMAS TRUSLER3 | 201 EVENING WAY PICKERINGTON, OH 43147 | AFLAC | $1K | $16 | $1K | 13.70% |
| ANESA STEVENOR3 | 6921 DUBLIN RD DELAWARE, OH 43015 | AFLAC | $602 | — | $602 | 5.99% |
| HENSLEY AND ASSOCIATES LLC3 Filed as: HENSLEY AND ASSOCIATES INC | 1103 SCHROCK RD STE 201 COLUMBUS, OH 43229 | AFLAC | $227 | $4 | $231 | 2.30% |
| BRIAN MAYS3 | 7250 S KYRENE RD APT 222 TEMPE, AZ 85283 | AFLAC | $172 | — | $172 | 1.71% |
| CHARLES KRIEG3 | 6739 PERRY PIKE PLAIN CITY, OH 43064 | AFLAC | $97 | — | $97 | 0.97% |
| MICHAEL BURRELL3 | 1269 SEDGE LN GAHANNA, OH 43230 | AFLAC | $69 | — | $69 | 0.69% |
| DOUGLAS LANDENBERGER3 | 4914 BRITTON FARMS CT HILLIARD, OH 43026 | AFLAC | $57 | — | $57 | 0.57% |
| PAULA CUTTER3 | 945 STAR SHOOT PKWY LEXINGTON, KY 40509 | AFLAC | $39 | — | $39 | 0.39% |
| ROBERT P HARE3 Filed as: ROBERT HARE | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | AFLAC | $29 | — | $29 | 0.29% |
| ROBERT WRIGHT3 | 3980 CORBY ST NW UNIONTOWN, OH 44685 | AFLAC | $24 | — | $24 | 0.24% |
| HARE AND ASSOCIATES LLC3 | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | AFLAC | $21 | — | $21 | 0.21% |
| QUINN, MEYER & ASSOCIATES3 Filed as: QUINN MEYER & ASSOCIATES | 10800 WINCHCOMBE DR DUBLIN, OH 43016 | AFLAC | $9 | — | $9 | 0.09% |
| ASHLEY SOLOMON3 | 5582 DUMFRIES COURT W DUBLIN, OH 43017 | AFLAC | $6 | — | $6 | 0.06% |
| SCOTT A SMITH3 Filed as: SCOTT SMITH | 5300 OAKBROOK PKWY STE 300 NORCROSS, GA 30093 | AFLAC | $6 | — | $6 | 0.06% |
| JOHN D PETTIGREW3 | 1620 COHASSET DR CINCINNATI, OH 45255 | AFLAC | $1 | — | $1 | 0.01% |
| THOMAS TRUSLER3 | 201 EVENING WAY PICKERINGTON, OH 43147 | AFLAC | $240 | — | $240 | 3.31% |
| MICHELLE SWETOHA3 | 1219 HODGKISS ST PITTSBURGH, PA 15212 | AFLAC | $214 | — | $214 | 2.95% |
| ANESA STEVENOR3 | 6921 DUBLIN RD DELAWARE, OH 43015 | AFLAC | $149 | — | $149 | 2.06% |
| MATTHEW HARMON3 | 1660 WOODSPRING DR POWELL, OH 43065 | AFLAC | $77 | — | $77 | 1.06% |
| DILIP PATIL3 | 5722 WESTBRIAR DR HILLIARD, OH 43026 | AFLAC | $49 | — | $49 | 0.68% |
| CHRIS BIALKA3 | 11260 CHESTER RD STE 100 CINCINNATI, OH 45246 | AFLAC | $47 | — | $47 | 0.65% |
| BRUCE MEYER3 | 10800 WINCHCOMBE DR DUBLIN, OH 43016 | AFLAC | $45 | — | $45 | 0.62% |
| HENSLEY AND ASSOCIATES LLC3 Filed as: HENSLEY AND ASSOCIATES INC | 1103 SCHROCK RD STE 201 COLUMBUS, OH 43229 | AFLAC | $43 | $2 | $45 | 0.62% |
| BRIAN MAYS3 | 7250 S KYRENE RD APT 222 TEMPE, AZ 85283 | AFLAC | $42 | — | $42 | 0.58% |
| MICHAEL BURRELL3 | 1269 SEDGE LN GAHANNA, OH 43230 | AFLAC | $28 | — | $28 | 0.39% |
| ARMIN G LEONHARDT3 Filed as: ARMIN LEONHARDT | 9000 FRANCINE LN POWELL, OH 43065 | AFLAC | $26 | — | $26 | 0.36% |
| PAULA CUTTER3 | 945 STAR SHOOT PKWY LEXINGTON, KY 40509 | AFLAC | $21 | — | $21 | 0.29% |
| ASHLEY SOLOMON3 | 5582 DUMFRIES COURT W DUBLIN, OH 43017 | AFLAC | $21 | — | $21 | 0.29% |
| MICHAEL C WALKER3 Filed as: MICHAEL QUINN | 8580 MAJORCA LN NAPLES, FL 34114 | AFLAC | $19 | — | $19 | 0.26% |
| OMER S BASS IV3 Filed as: OMER BASS IV | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $18 | — | $18 | 0.25% |
| DAVID N NANNI AGENCY INC3 | PO BOX 337 PICKERINGTON, OH 43147 | AFLAC | $17 | — | $17 | 0.23% |
| KEITH FRIZZELL3 | 1795 ALYSHEBA WAY STE 1204 LEXINGTON, KY 40509 | AFLAC | $13 | $2 | $15 | 0.21% |
| CHARLES F SMITH JR3 Filed as: CHARLES SMITH JR | 6832 S HARDIN RD HARROD, OH 45850 | AFLAC | $13 | — | $13 | 0.18% |
| ROBERT P HARE3 Filed as: ROBERT HARE | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | AFLAC | $12 | — | $12 | 0.17% |
| JACK L SHORT3 Filed as: JACK SHORT | 176 PATTI DR WESTERVILLE, OH 43081 | AFLAC | $10 | — | $10 | 0.14% |
| HARE AND ASSOCIATES LLC3 | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | AFLAC | $9 | — | $9 | 0.12% |
| JOHN D PETTIGREW3 | 1620 COHASSET DR CINCINNATI, OH 45255 | AFLAC | $9 | — | $9 | 0.12% |
| DANIEL JONES3 | 201 N MAIN ST DELPHOS, OH 45833 | AFLAC | $8 | — | $8 | 0.11% |
| JOSEPH P CALARCO3 Filed as: JOSEPH EVANS | 4721 BROOKVIEW DR WEST DES MOINES, IA 50265 | AFLAC | $3 | — | $3 | 0.04% |
| DAVID M MILLER3 | 5640 ROSEMEAD BLVD APT 114 PICO RIVERA, CA 90660 | AFLAC | $2 | — | $2 | 0.03% |
| GARY MOSELEY3 | PO BOX 177 ZANESFIELD, OH 43360 | AFLAC | $1 | — | $1 | 0.01% |
| DENNIS A SZCZESNY3 Filed as: DENNIS SZCZESNY | 165 INVERNESS DR LEXINGTON, SC 29072 | AFLAC | $1 | — | $1 | 0.01% |
| THOMAS TRUSLER3 | 201 EVENING WAY PICKERINGTON, OH 43147 | AFLAC | $416 | — | $416 | 6.32% |
| MICHELLE SWETOHA3 | 1219 HODGKISS ST PITTSBURGH, PA 15212 | AFLAC | $162 | — | $162 | 2.46% |
| DILIP PATIL3 | 5722 WESTBRIAR DR HILLIARD, OH 43026 | AFLAC | $128 | — | $128 | 1.94% |
| MICHAEL BURRELL3 | 1269 SEDGE LN GAHANNA, OH 43230 | AFLAC | $77 | — | $77 | 1.17% |
| HENSLEY AND ASSOCIATES LLC3 Filed as: HENSLEY AND ASSOCIATES INC | 1103 SCHROCK RD STE 201 COLUMBUS, OH 43229 | AFLAC | $51 | — | $51 | 0.77% |
| BRUCE MEYER3 | 10800 WINCHCOMBE DR DUBLIN, OH 43016 | AFLAC | $48 | — | $48 | 0.73% |
| ANESA STEVENOR3 | 6921 DUBLIN RD DELAWARE, OH 43015 | AFLAC | $47 | — | $47 | 0.71% |
| BRIAN MAYS3 | 7250 S KYRENE RD APT 222 TEMPE, AZ 85283 | AFLAC | $37 | — | $37 | 0.56% |
| JAMES BURRESS3 | 6418 GAYBOROUGH CT DUBLIN, OH 43016 | AFLAC | $36 | — | $36 | 0.55% |
| ROBERT P HARE3 Filed as: ROBERT HARE | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | AFLAC | $31 | — | $31 | 0.47% |
| MICHAEL C WALKER3 Filed as: MICHAEL QUINN | 8580 MAJORCA LN NAPLES, FL 34114 | AFLAC | $24 | — | $24 | 0.36% |
| PAULA CUTTER3 | 945 STAR SHOOT PKWY LEXINGTON, KY 40509 | AFLAC | $15 | — | $15 | 0.23% |
| MARCY R WARD3 Filed as: MARCY WARD | 1103 SCHROCK RD STE 201 COLUMBUS, OH 43229 | AFLAC | $15 | — | $15 | 0.23% |
| ASHLEY SOLOMON3 | 5582 DUMFRIES COURT W DUBLIN, OH 43017 | AFLAC | $12 | — | $12 | 0.18% |
| HARE AND ASSOCIATES LLC3 | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | AFLAC | $12 | — | $12 | 0.18% |
| SCOTT A SMITH3 Filed as: SCOTT SMITH | 5300 OAKBROOK PKWY STE 300 NORCROSS, GA 30093 | AFLAC | $9 | — | $9 | 0.14% |
| CHRIS BIALKA3 | 11260 CHESTER RD STE 100 CINCINNATI, OH 45246 | AFLAC | $7 | — | $7 | 0.11% |
| OMER S BASS IV3 Filed as: OMER BASS IV | 565 W GATEWAY CT MERRITT ISLAND, FL 32952 | AFLAC | $5 | — | $5 | 0.08% |
| JOHN D PETTIGREW3 | 1620 COHASSET DR CINCINNATI, OH 45255 | AFLAC | $3 | — | $3 | 0.05% |
| JOSEPH P CALARCO3 Filed as: JOSEPH EVANS | 4721 BROOKVIEW DR WEST DES MOINES, IA 50265 | AFLAC | $1 | — | $1 | 0.02% |
| THOMAS TRUSLER3 | 201 EVENING WAY PICKERINGTON, OH 43147 | AFLAC | $510 | — | $510 | 7.98% |
| ANESA STEVENOR3 | 6921 DUBLIN RD DELAWARE, OH 43015 | AFLAC | $215 | — | $215 | 3.36% |
| DILIP PATIL3 | 5722 WESTBRIAR DR HILLIARD, OH 43026 | AFLAC | $196 | — | $196 | 3.07% |
| MICHAEL BURRELL3 | 1269 SEDGE LN GAHANNA, OH 43230 | AFLAC | $138 | — | $138 | 2.16% |
| A FRED VOGEL3 | 2198 TROPHY DR MARYSVILLE, OH 43040 | AFLAC | $98 | — | $98 | 1.53% |
| JAMES BURRESS3 | 6418 FAYBORUGH CT DUBLIN, OH 43016 | AFLAC | $80 | — | $80 | 1.25% |
| HENSLEY AND ASSOCIATES LLC3 Filed as: HENSLEY AND ASSOCIATES INC | 1103 SCHROCK RD STE 201 COLUMBUS, OH 43229 | AFLAC | $69 | — | $69 | 1.08% |
| ROBERT WRIGHT3 | 3980 CORBY ST NW UNIONTOWN, OH 44685 | AFLAC | $57 | — | $57 | 0.89% |
| ROBERT P HARE3 Filed as: ROBERT HARE | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | AFLAC | $48 | — | $48 | 0.75% |
| BRIAN MAYS3 | 7250 S KYRENE RD APT 222 TEMPE, AZ 85283 | AFLAC | $25 | — | $25 | 0.39% |
| QUINN, MEYER & ASSOCIATES3 Filed as: QUINN MEYER & ASSOCIATES | 10800 WINCHCOMBE DR DUBLIN, OH 43016 | AFLAC | $18 | — | $18 | 0.28% |
| CHRIS BIALKA3 | 11260 CHESTER RD STE 100 CINCINNATI, OH 45246 | AFLAC | $12 | — | $12 | 0.19% |
| SCOTT A SMITH3 Filed as: SCOTT SMITH | 5300 OAKBROOK PKWY STE 300 NORCROSS, GA 30093 | AFLAC | $6 | $2 | $8 | 0.13% |
| BRUCE MEYER3 | 10800 WINCHCOMBE DR DUBLIN, OH 43016 | AFLAC | $6 | — | $6 | 0.09% |
| PAULA CUTTER3 | 945 STAR SHOOT PKWY LEXINGTON, KY 40509 | AFLAC | $4 | — | $4 | 0.06% |
| HARE AND ASSOCIATES LLC3 | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | AFLAC | $4 | — | $4 | 0.06% |
| JESSIE BOONE3 | 8066 CHIANTI LN NAPLES, FL 34114 | AFLAC | $3 | — | $3 | 0.05% |
| DAVID N NANNI AGENCY INC3 | PO BOX 337 PICKERINGTON, OH 43147 | AFLAC | $2 | — | $2 | 0.03% |
| CHARLES F SMITH JR3 Filed as: CHARLES SMITH JR | 6832 S HARDIN RD HARROD, OH 45850 | AFLAC | $2 | — | $2 | 0.03% |
| DANIEL JONES3 | 201 N MAIN ST DELPHOS, OH 45833 | AFLAC | $1 | — | $1 | 0.02% |
| THOMAS TRUSLER3 | 201 EVENING WAY PICKERINGTON, OH 43147 | AFLAC | $782 | $4 | $786 | 17.35% |
| PALMER HEMMELGARN3 | 1968 WATERBROOK LN 315 COLUMBUS, OH 43209 | AFLAC | $300 | — | $300 | 6.62% |
| HENSLEY AND ASSOCIATES LLC3 Filed as: HENSLEY AND ASSOCIATED LLC | 1103 SCHROCK RD STE 201 COLUMBUS, OH 43229 | AFLAC | $157 | — | $157 | 3.47% |
| BRADEN WALLAKE3 | 2054 GUILDHALL DR APT F COLUMBUS, OH 43209 | AFLAC | $66 | — | $66 | 1.46% |
| DILIP PATIL3 | 5722 WESTBRIAR DR HILLIARD, OH 43026 | AFLAC | $66 | — | $66 | 1.46% |
| PAULA CUTTER3 | 945 STAR SHOOT PKWY LEXINGTON, KY 40509 | AFLAC | $17 | $2 | $19 | 0.42% |
| ROGER A WARNER3 | 13855 WAYSIDE DR PICKERINGTON, OH 43147 | AFLAC | $6 | $7 | $13 | 0.29% |
| BRIAN MAYS3 | 7250 S KYRENE RD APT 222 TEMPE, AZ 85283 | AFLAC | $10 | — | $10 | 0.22% |
| HARE AND ASSOCIATES LLC3 | 470 OLDE WORTHINGTON RD STE 250 WESTERVILLE, OH 43082 | AFLAC | $7 | $2 | $9 | 0.20% |
| CHARLES F SMITH JR3 Filed as: CHARLES SMITH JR | 6832 S HARDIN RD HARROD, OH 45850 | AFLAC | $3 | — | $3 | 0.07% |
| DANIEL JONES3 | 201 N MAIN ST DELPHOS, OH 45833 | AFLAC | $2 | — | $2 | 0.04% |
| JOHN D PETTIGREW3 | 1620 COHASSET DR CINCINNATI, OH 45255 | AFLAC | $1 | — | $1 | 0.02% |
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 | 142 | 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) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 99 | $1.2M |
| Dental | COMMUNITY INSURANCE COMPANY | 54 | $34K |
| Vision | COMMUNITY INSURANCE COMPANY | 99 | $1.2M |
| Life insurance(2 contracts) | ANTHEM LIFE INSURANCE COMPANY | 144 | $47K |
| Other(8 contracts, 3 carriers) | ANTHEM LIFE INSURANCE COMPANY | 144 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 144 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.