| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $41K | $41K | 6.11% |
| USI INSURANCE SERVICES LLC3 | 1301 EAST NINTH STREET, SUITE 3800 CLEVELAND, OH 44114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $987 | $1 | $988 | 2.66% |
| CGI VOLUNTARY BENEFITS, INC.3 | 3500 WOODRIDGE ROAD CLEVELAND HEIGHTS, OH 44121 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $565 | $0 | $565 | 1.52% |
| EILEEN J. BOLAND3 | 28030 WEST OAKLAND ROAD BAY VILLAGE, OH 44140 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $375 | $0 | $375 | 1.01% |
| THE JAMES B OSWALD COMPANY3 Filed as: TAYLOR OSWALD, LLC | 1100 SUPERIOR AVENUE, SUITE 1330 CLEVELAND, OH 44114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $341 | $0 | $341 | 0.92% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON MIDWEST, INC. | 26 CENTURY BOULEVARD NASHVILLE, TN 37214 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $51 | $0 | $51 | 0.14% |
| THOMAS CHRISTOPHER SMITH3 | 798 BERRY ROAD NASHVILLE, TN 37204 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $42 | $0 | $42 | 0.11% |
| USI INSURANCE SERVICES LLC3 | 1301 EAST 9TH STREET CLEVELAND, OH 44114 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $17 | $17 | 0.05% |
No Schedule C service providers reported on this filing.
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 | 1,367 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 23 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,397 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 1,733 | $536K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,341 | $668K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,341 | $668K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,341 | $668K |
| Other(3 contracts, 3 carriers) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,341 | $728K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,733 | — |
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."
No prospect flags tripped on this filing.