| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL WILCOX3 | 3400 EXECUTIVE PKWY TOLEDO, OH 43606 | AMERITAS LIFE INSURANCE CO. | $2K | $0 | $2K | — |
| WILCOX FINANCIAL3 | PO BOX 2787 TOLEDO, OH 43606 | AMERITAS LIFE INSURANCE CO. | $411 | $0 | $411 | — |
| PETER JOHN WINOVICH III3 | 3400 EXECUTIVE PKWY TOLEDO, OH 43606 | UNION CENTRAL LIFE INSURANCE COMPANY | $259 | $0 | $259 | — |
| MICHAEL WILCOX3 | 3400 EXECUTIVE PKWY TOLEDO, OH 43606 | UNION CENTRAL LIFE INSURANCE COMPANY | $225 | $0 | $225 | — |
| WILCOX FINANCIAL3 | PO BOX 2787 TOLEDO, OH 43606 | UNION CENTRAL LIFE INSURANCE COMPANY | $134 | $0 | $134 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SJS INVESTMENT CONSULTING, INC. EIN 34-1803756 NONE | Investment advisory (plan); Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $118K |
| HIGHLAND CONSULTING EIN 34-1753575 NONE | Investment advisory (plan); Direct payment from the plan; Consulting (pension) Service code 17 | — | $52K |
| FINDLEY DAVIES, INC. EIN 34-1213174 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (pension); Direct payment from the plan Service code 15 | — | $36K |
| WILMINGTON TRUST EIN 51-0099033 TRUSTEE | Float revenue; Shareholder servicing fees; Custodial (securities); Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 19 | — | $31K |
| ACADIAN ASSET MANAGEMENT LLC NONE | Direct payment from the plan; Consulting (pension); Investment management Service code 17 | 260 FRANKLIN STREET BOSTON, MA 02110 | $27K |
| DAVENPORT, HANF & COMPANY, LLC EIN 41-2173760 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $12K |
| APPLE GROWTH PARTNERS EIN 34-1082617 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $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 | 742 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 619 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,361 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(5 contracts, 5 carriers) | AMERITAS LIFE INSURANCE CO. | 4 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.