No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICAN BENEFIT CORPORATION EIN 55-0672859 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $473K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $77K |
| LEDBETTER PARISI LLC EIN 03-0599899 NONE | Legal; Direct payment from the plan Service code 29 | — | $55K |
| STROKE DETECTION PLUS NONE | Other services Service code 49 | 2407 SW 9TH ST DES MOINES, IA 50315 | $42K |
| COOPERATIVE REHABILITATIVE SERVICES EIN 34-1455592 NONE | Other services; Direct payment from the plan Service code 49 | — | $31K |
| SEGAL SELECT INSURANCE SERVICES INC EIN 46-0619194 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $22K |
| CLARK, SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $20K |
| EMPATHIA PACIFIC, INC. EIN 95-3070501 NONE | Direct payment from the plan; Other services Service code 49 | — | $18K |
| DOVER PARTNERS EIN 31-1281984 NONE | Investment management fees paid directly by plan; Investment advisory (plan) Service code 27 | — | $16K |
| AMERICAN HEALTH HOLDINGS EIN 31-1368946 NONE | Direct payment from the plan; Other services Service code 49 | — | $15K |
| JOHNSON PRINTING NONE | Other services; Direct payment from the plan Service code 49 | 4136 GREEN VALLEY ROAD HUNTINGTON, WV 25701 | $12K |
| PREMIER COMMUNITY HEALTH NONE | Other services Service code 49 | 3170 KETTERING BLVD MORAINE, OH 45439 | $10K |
| CHAPEL-ROMANOFF TECHNOLOGIES LLC PARTICIPATING EMPLOYER | Other services Service code 49 | 1985 FOUNDERS DR DAYTON, OH 45420 | $9K |
| BLUE & CO., LLC EIN 35-1178661 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $9K |
| EMPLOYEE CARE OF MVH EIN 31-0537504 NONE | Direct payment from the plan; Other services Service code 49 | — | $8K |
| CHAPEL ELECTRIC CO., LLC PARTICIPATING EMPLOYER | Other services Service code 49 | 1985 FOUNDERS DR DAYTON, OH 45420 | $8K |
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 | 1,061 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 275 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 61 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,336 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED AMERICAN INSURANCE COMPANY | 346 | $385K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,073 | $73K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,054 | $101K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 182 | $233K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,168 | $449K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,073 | $73K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,168 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.