No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 CLAIMS PROCESSING | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator; Claims processing Service code 12 | — | $609K |
| BENESYS INC. EIN 38-2383171 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | — | $245K |
| SEGAL CONSULTING EIN 13-1975125 CONSULTANT | Consulting (pension) Service code 17 | — | $73K |
| OCPCM COMBINED FUNDS INC. EIN 20-3443534 COLLECTION AGENCY | Other fees Service code 99 | — | $60K |
| ALLOTTA FARLEY CO., LPA ATTORNEY | Legal Service code 29 | 2222 CENTENNIAL RD TOLEDO, OH 43617 | $39K |
| FIFTH THIRD BANK RETIREMENT SERVICE EIN 31-1051736 INVESTMENT MANAGEMENT | Custodial (securities); Investment management; Investment management fees paid directly by plan Service code 19 | — | $34K |
| ANDCO CONSULTING INVESTMENT CONSULTANT | Consulting (general) Service code 16 | 4901 VINELAND ROAD ORLANDO, FL 32811 | $15K |
| AMERICAN GRAPHICS PRINTING CO. PRINTING SERVICES | Copying and duplicating Service code 36 | 34895 GROESBECK HWY CLINTON TWP, MI 48035 | $12K |
| YURCHYK & DAVIS CPA'S, INC. EIN 34-1638235 AUDITOR | Accounting (including auditing) Service code 10 | — | $10K |
| COWDEN ASSOCIATES, INC. ACTUARY | Actuarial Service code 11 | 444 LIBERTY AVE STE 605 PITTSBURGH, PA 152221222 | $8K |
| PRINT FACTORY PLL PRINTING SERVICES | Copying and duplicating Service code 36 | PO BOX 312 NORTH LIMA, OH 44452 | $5K |
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 | 1,009 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 305 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,314 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,222 | $568K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,222 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.