| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ADVANTAGE CONSULTANTS AGENCY INC3 Filed as: ADVANTAGE CONSULTANTS AGENCY INC. | 215 W GARFIELD RD STE 250 AURORA, OH 44202 | DEARBORN LIFE INSURANCE COMPANY | $6K | — | $6K | 10.72% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 37 W BROAD STREET - 7TH FL COLUMBUS, OH 43215 | DEARBORN LIFE INSURANCE COMPANY | — | $770 | $770 | 1.33% |
| ADVANTAGE CONSULTANTS AGENCY INC3 Filed as: ADVANTAGE CONSULTANTS AGENCY INC. | 215 W GARFIELD RD STE 250 AURORA, OH 44202 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 8.33% |
| DMC BENEFITS INC3 Filed as: DMC BENEFITS INC. | 1485 PRINCE CHARLES AVE WESTLAKE, OH 44145 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | — | $1K | 4.00% |
| HUDOCK EUGENE3 Filed as: HUDOCK EUGUENE | 36380 CHURCHILL DRIVE SOLON, OH 44139 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 13.17% |
| ADVANTAGE CONSULTANTS AGENCY INC3 Filed as: ADVANTAGE CONSULTANTS AGENCY INC. | 215 W GARFIELD RD STE 250 AURORA, OH 44202 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 7.31% |
| HUDOCK LAURA3 | 2415 ASHDALE DR TWINSBURG, OH 44087 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $282 | — | $282 | 1.89% |
| BOSTON THOMAS W3 | 139 MARKET AVE NE HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $160 | — | $160 | 1.07% |
| BENEFIT ENROLLMENT SVCS INC3 Filed as: BENEFIT ENROLLMENT SVCS INC. | 30628 DETROIT RD #139 WESTLAKE, OH 44145 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $70 | — | $70 | 0.47% |
| DONNA I TROXELL3 | 269 MARSH HOLLOW LANE CROSS FORK, PA 17729 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $27 | — | $27 | 0.18% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP STE 200 | 3445 PEACHTREE RD ATLANTA, GA 30326 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $882 | $3K | 21.43% |
| SOUTHEAST INC. STE 2003 | 3445 PEACHTREE RD ATLANTA, GA 30326 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $330 | $317 | $647 | 5.17% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES, INC. | 1250 CAPITAL OF TEXAS HWY BLDG 2 AUSTIN, TX 78746 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $418 | $418 | 3.34% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MUTUAL HEALTH SERVICES EIN 34-0648820 | Plan Administrator Service code 14 | — | $41K |
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 | 63 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 64 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MSL CAPTIVE SOLUTIONS | 62 | $292K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 58 | $30K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 58 | $30K |
| Life insurance(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 146 | $73K |
| Short-term disability | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 58 | $15K |
| Long-term disability(3 contracts, 3 carriers) | DEARBORN LIFE INSURANCE COMPANY | 146 | $85K |
| Stop-loss / reinsurancereinsurance | MSL CAPTIVE SOLUTIONS | 62 | $292K |
| Other(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 146 | $73K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 146 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.