No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICAN BENEFIT CORPORATION EIN 55-0672859 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | 3150 US ROUTE 60 ONA, WV 25545 | $348K |
| ANTHEM EIN 35-2145715 NONE | Direct payment from the plan; Claims processing Service code 12 | 120 MONUMENT CIRCLE INDIANAPOLIS, IN 46204 | $287K |
| LEDBETTER, PARISI AND SOLLARS EIN 03-0599899 NONE | Legal; Direct payment from the plan Service code 29 | 9240 MARKETPLACE DR. MIAMISBURG, OH 45342 | $80K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Direct payment from the plan; Consulting (general); Actuarial Service code 11 | 11590 N MERIDIAN ST. STE 610 CARMEL, IN 46032 | $68K |
| COOPERATIVE REHABILITATIVE SERVICE EIN 34-1455592 NONE | Direct payment from the plan; Other services Service code 49 | 6854 PROMWAY AVENUE NW NORTH CANTON, OH 44720 | $27K |
| EMPLOYEE CARE OF MVH EIN 31-0537504 NONE | Direct payment from the plan; Other services Service code 49 | 409 E MONUMENT AVE., STE 201 DAYTON, OH 45402 | $23K |
| DOVER PARTNERS EIN 31-1281984 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | 476 WINDSOR PARK DR. DAYTON, OH 45459 | $13K |
| AMERICAN HEALTH HOLDING EIN 31-1368946 NONE | Direct payment from the plan; Other services Service code 49 | 7400 W CAMPUS RD., F-150 NEW ALBANY, OH 43054 | $11K |
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 | 728 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 261 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 51 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,040 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTH CARE INSURANCE COMPANY- AARP MEDICARE SUPPLEMENT PLAN | 210 | $504K |
| Life insurance | PRUDENTIAL FINANCIAL | 632 | $44K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 616 | $62K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 730 | $293K |
| Other | PRUDENTIAL FINANCIAL | 632 | $44K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 730 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.