| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT RELATED SERVICES3 | 3988 MILES AVENUE N.W. CANTON, OH 44718 | THE HEALTH PLAN | $8K | — | $8K | 3.03% |
| BENEFIT RELATED SERVICES3 | 3988 MILES AVE NW CANTON, OH 44718 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 6.71% |
| BENEFIT RELATED SERVICES3 | 3988 MILES AVE NW CANTON, OH 44718 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 10.32% |
| BENEFIT RELATED SERVICES3 | 3988 MILES AVE NW CANTON, OH 44718 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 8.14% |
| BENEFIT RELATED SERVICES3 | 3988 MILES AVENUE NW CANTON, OH 44718 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 8.24% |
| BRS GROUP LTD3 | 3988 MILES AVE NW CANTON, OH 44718 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 14.33% |
| BENEFIT RELATED SERVICES3 | 3988 MILES AVE NW CANTON, OH 44718 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 9.19% |
| BENEFIT RELATED SERVICES3 | 3988 MILES AVE NW CANTON, OH 44718 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 45.34% |
| BENEFIT RELATED SERVICES3 | 3988 MILES AVE NW CANTON, OH 44718 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $455 | — | $455 | 9.16% |
| BENEFIT RELATED SERVICES3 | 3988 MILES AVE NW CANTON, OH 44718 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $245 | — | $245 | 9.16% |
| BENEFIT RELATED SERVICES3 | 3988 MILES AVE NW CANTON, OH 44718 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $172 | — | $172 | 9.15% |
| BENEFIT RELATED SERVICES3 | 3988 MILES AVE NW CANTON, OH 44718 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $50 | — | $50 | 9.26% |
| BENEFIT RELATED SERVICES3 | 3988 MILES AVE NW CANTON, OH 44718 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $33 | — | $33 | 9.07% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $166K |
| BRS GROUP LTD EIN 34-1795755 BROKER | Other commissions Service code 55 | — | $17K |
| CENTERSTONE INSURANCE & FIN SERVICE EIN 95-4018229 BROKER | Other commissions Service code 55 | — | $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 | 279 | 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) | 279 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | THE HEALTH PLAN | 266 | $272K |
| Life insurance(4 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 266 | $88K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 94 | $25K |
| Long-term disability(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 86 | $42K |
| Other(8 contracts, 3 carriers) | US FIRE INSURANCE - PARTNERS MGE GENERAL | 279 | $346K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 279 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.