| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE FEDELI GROUP3 | 5005 ROCKSIDE RD SUITE 500 INDEPENDENCE, OH 44131 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 0.59% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 37 WEST BROAD STREET COLUMBUS, OH 43215 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6K | — | $6K | 14.99% |
| MICHAEL T EISEL3 | 1318 LOGAN LANE WOOSTER, OH 44691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $352 | — | $352 | 0.85% |
| GEORGE EDWARD MARSINEK JR3 | 3920 WEBB RD RAVENNA, OH 44266 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $63 | — | $63 | 0.15% |
| THOMAS W BOSTON3 | 13661 MARKET AVE N HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $26 | — | $26 | 0.06% |
| JOHN KARAS3 | 5112 PORTAGE AVENUE NW NORTH OLMSTED, OH 44720 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $25 | — | $25 | 0.06% |
| COVEY RUN INSURANCE LLC3 Filed as: COVEY RUN INSURANCE | 341 COPPER CREEK AMHERST, OH 44001 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $21 | — | $21 | 0.05% |
| VINURA AGENCY LLC3 Filed as: VINURA AGENCY | PO BOX 102 WADSWORTH, OH 44282 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10 | — | $10 | 0.02% |
| IRIS KESSLER3 | 26777 LORAIN RD SUITE 3 NORTH OLMSTED, OH 44070 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| THE FEDELI GROUP3 | 5005 ROCKSIDE RD SUITE 500 INDEPENDENCE, OH 44131 | PRINCIPAL LIFE INSURANCE COMPANY | $49 | — | $49 | 0.74% |
| JOAN ANNE HENDERSON3 | 2331 AMBERWOOD CIR NE MASSILLON, OH 44646 | AFLAC | $149 | — | $149 | 4.30% |
| WILLIAM J BALL III3 Filed as: WILLIAM BALL | 9 STOUENBERG DR NORWALK, OH 44857 | AFLAC | $42 | — | $42 | 1.21% |
| STEPHEN BRIAN LOMBARDOZZI3 Filed as: STEPHEN LOMBARDOZZI | 5329 GARGASZ DRIVE LORAIN, OH 44053 | AFLAC | $22 | — | $22 | 0.64% |
| ANGELA FANKHAUSER3 | 34030 MAPLE DRIVE SOLON, OH 44139 | AFLAC | $17 | — | $17 | 0.49% |
| THERESA L GOIK3 Filed as: THERESA GOIK | 1816 W NIGHTHAWK WAY PHOENIX, AZ 85045 | AFLAC | $17 | — | $17 | 0.49% |
| SCOTT A SMITH3 Filed as: SCOTT SMITH | 5300 OAKBROOK PKWY SUITE 300 NORCROSS, GA 30093 | AFLAC | $12 | — | $12 | 0.35% |
| AMANDA C LONG3 Filed as: AMANDA LONG | 107 HIDDEN OAK DR MARS, PA 16046 | AFLAC | $12 | — | $12 | 0.35% |
| MARC J HAIRE3 Filed as: MARC HAIRE | 9885 GREENHAVEN PKWY BRECKSVILLE, OH 44141 | AFLAC | $9 | — | $9 | 0.26% |
| HENSLEY AND ASSOCIATES LLC3 | 9465 RIVIERA DR UNION, KY 41091 | AFLAC | $7 | — | $7 | 0.20% |
| KATHERINE ROSE LANG3 Filed as: KATHERINE LANG | 21617 HALWORTH RD BEACHWOOD, OH 44122 | AFLAC | $7 | — | $7 | 0.20% |
| HARE AND ASSOCIATES LLC3 | 6324 TARTON FIELDS LN MASON, OH 45040 | AFLAC | $7 | — | $7 | 0.20% |
| JOHNNY HENSLEY JR3 | 975 SAUTTER DR MANSFIELD, OH 44904 | AFLAC | $4 | — | $4 | 0.12% |
| BRUCE MEYER3 | 10800 WINCHOMBE DR DUBLIN, OH 43016 | AFLAC | $3 | — | $3 | 0.09% |
| GAYLORD I KAUFFMAN3 Filed as: GAYLORD KAUFFMAN | 315 GREEN RIDGE ROAD SUITE H1 NEW CASTLE, PA 16105 | AFLAC | $2 | — | $2 | 0.06% |
| JOHN LUTZ3 | 19646 N 92ND AVE PEORIA, AZ 85382 | AFLAC | $2 | — | $2 | 0.06% |
| DARREN D RIDDLE3 Filed as: DARREN BRUNO | 1224 WESTWOOD DR LEWIS CENTER, OH 43035 | AFLAC | $2 | — | $2 | 0.06% |
| MARKUS MUELLER3 | 1820 WILDCAT CV HUTCHISON ISLAND, FL 34949 | AFLAC | $1 | — | $1 | 0.03% |
| JOHN D PETTIGREW3 Filed as: JOHN PETTIGREW | 1620 COHASSET DR CINCINNATI, OK 45255 | AFLAC | $1 | — | $1 | 0.03% |
| DANIELLE C DUNN3 Filed as: DANIELLE DUNNE | 185 S COLUMBIA AVE COLUMBUS, OH 43209 | AFLAC | $1 | — | $1 | 0.03% |
| RANDY M SOMERMAN3 Filed as: RANDY SOMERMAN | 2819 WILLIAMSBURG CIR STOW, OH 44224 | AFLAC | $1 | — | $1 | 0.03% |
| REGINALD PARNETLL3 | 1025 IONA AVE AKRON, OH 44314 | AFLAC | $65 | — | $65 | 4.87% |
| YEN H HUYNH3 Filed as: YEN HUYNH | 1224 NW 29TH STREET OKLAHOMA CITY, OK 73106 | AFLAC | $46 | — | $46 | 3.45% |
| THOMAS A HOUSE3 Filed as: THOMAS HOUSE | 205 CRESTRUN LOOP LEESBURG, FL 34748 | AFLAC | $10 | — | $10 | 0.75% |
| MAKOWSKI INS AGCY INC3 Filed as: MAKOWSKI INS AGENCY INC | 9404 WOODCHIP LANE BROADVIEW HTS, OH 44147 | AFLAC | $6 | — | $6 | 0.45% |
| RUSSELL O. ULRICH JR.3 Filed as: RUSSELL ULRICH | 150 N MILLER RD STE 300A FAIRLAWN, OH 44333 | AFLAC | $2 | — | $2 | 0.15% |
| OPPORTUNITY INC3 Filed as: OPPORTUNITY INC. | 9404 WOODCHIP LN BROADVIEW HEIGHTS, OH 44147 | AFLAC | $2 | — | $2 | 0.15% |
| ROBERTA DICKINSON3 | 16141 HOWE ROAD STRONGSVILLE, OH 44136 | AFLAC | $2 | — | $2 | 0.15% |
| RICO PEREZ3 | 6000 LOMBARDO CTR STE 145 SEVEN HILLS, OH 44131 | AFLAC | $1 | — | $1 | 0.07% |
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 | 285 | 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) | 285 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AULTCARE INSURANCE COMPANY | 322 | $1.7M |
| Dental(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 452 | $218K |
| Vision(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 452 | $218K |
| Life insurance(4 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 452 | $258K |
| Short-term disability(3 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 153 | $46K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 452 | $211K |
| Prescription drug | AULTCARE INSURANCE COMPANY | 322 | $1.7M |
| Other(2 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 153 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 452 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.