| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY | 333 WEST 34TH STREET NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE COMPANY | $10K | — | $10K | 1.11% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMMUNITY INSURANCE COMPANY EIN 31-1440175 CLAIMS PROCESSOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Contract Administrator; Float revenue Service code 12 | — | $487K |
| BENESYS INC THIRD PARTY ADMINISTRATOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 13 | 3660 STUTZ DRIVE, STE 101 330-270-0453 CANFIELD, OH 44406 | $224K |
| MAHONING, TRUMBULL AND SHENAGO VALL COLLECTION AGENCY | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 3660 STUTZ DRIVE, STE 101 CANFIELD, OH 44406 | $76K |
| PNC BANK BANK SERVICE CHARGES | Recordkeeping and information management (computing, tabulating, data processing, etc.); Trustee (bank, trust company, or similar financial institution) Service code 15 | 300 FIFTH AVENUE PITTSBURGH, PA 15222 | $53K |
| THE SEGAL COMPANY MEDICAL CONSULTANT | Consulting (general) Service code 16 | 1111 SUPERIOR AVENUE CLEVELAND, OH 44114 | $38K |
| FAULKNER, HOFFMAN & PHILLIPS ATTORNEY | Legal Service code 29 | 20445 EMERALD PKWY 210 CLEVELAND, OH 44135 | $22K |
| MARINER INSTITUTIONAL, LLC INVESTMENT CONSULTANT | Consulting (general) Service code 16 | 531 W. MORSE BLVD WINTER PARK, FL 32789 | $20K |
| FIFTH THIRD BANK RETIREMENT SERVICE INVESTMENT CUSTODIAN | Custodial (securities) Service code 19 | 5050 KINGSLEY DRIVE CINCINNATI, OH 45263 | $15K |
| YURCHYK & DAVIS CPA'S INC EIN 34-1638235 AUDITOR | Accounting (including auditing) Service code 10 | — | $13K |
| PRINT CENTER 1 LLC PRINTING SERVICES | Copying and duplicating Service code 36 | 907 WILMINGTON AVE NEW CASTLE, PA 16101 | $8K |
| IRONWORKERS LOCAL 207 COLLECTION PAYROLL AUDIT FEES | Accounting (including auditing) Service code 10 | 694 BEV ROAD, STE A BOARDMAN, OH 44512 | $7K |
| PCORI PCORI FEES | Other insurance fees and expenses Service code 73 | 1333 NEW HAMPSHIRE AVE WASHINGTON, DC 20036 | $7K |
| PARSONS RISK STRATEGIES, LLC ACTUARY | Actuarial Service code 11 | 347 TIMBERLAKE DRIVE AVON LAKE, OH 44012 | $6K |
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 | 1,048 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 36 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,084 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,116 | $901K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,116 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.