| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| OBL INSURANCE SERVICES AGENCY INC.3 | 4215 WORTH AVE. SUITE 300 COLUMBUS, OH 43219 | RELIANCE STANDARD LIFE INSURANCE CO | $6K | $1K | $7K | 18.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 NONE | Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator; Claims processing Service code 12 | — | $1.1M |
| BUSINESSOLVERS EIN 42-1053807 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $178K |
| DIAMOND CONSULTING GROUP EIN 45-5006498 NONE | Actuarial Service code 11 | — | $87K |
| DELTA DENTAL NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | 1515 22ND ST #450 OAK BROOK, IL 60523 | $75K |
| THE HUNTINGTON TRUST COMPANY EIN 31-0966785 NONE | Investment advisory (plan) Service code 27 | — | $46K |
| HIRTH NORRIS & GARRISON EIN 31-1158488 NONE | Accounting (including auditing) Service code 10 | — | $36K |
| CONSOLIPLEX EIN 46-1778400 NONE | Consulting fees Service code 70 | — | $25K |
| CARELONRX, INC. EIN 82-3062245 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $10K |
| INGENIORX, INC. EIN 82-3062245 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services; Claims processing Service code 12 | — | $0 |
| OHIO BANKERS LEAGUE SERVICES AFFILIATE OF GROUP TRAD | Other fees; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general) Service code 15 | 4215 WORTH AVE STE 300 COLUMBUS, OK 43219 | $0 |
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 | 2,702 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,702 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,873 | $333K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE CO | 458 | $40K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 2,921 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,921 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.