| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DENNIS THORSELL3 | 8154 GARMAN RD BURBANK, OH 44214 | AETNA LIFE INSURANCE CO. | $12K | — | $12K | 6.48% |
| SAVIN SALES ASSOCIATES INC3 | 8110 CHAGRIN ROAD CHAGRIN FALLS, OH 44023 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 1.78% |
| HUNTINGTON INSURANCE INC3 | 121 N MARKET ST, STE 400 WOOSTER, OH 44691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 8.07% |
| MICHAEL T EISEL3 Filed as: MICHAEL T. EISEL | 1318 LOGAN LANE WOOSTER, OH 44691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $601 | — | $601 | 1.03% |
| KATIE D DUER3 | 2801 S MEDINA LINE RD WADSWORTH, OH 44281 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $389 | — | $389 | 0.67% |
| ERIKA M PERRIN3 | 11565 GRENADA CIRCLE NE HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $240 | — | $240 | 0.41% |
| THOMAS W BOSTON3 | 13661 MARKET AVE N HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $130 | — | $130 | 0.22% |
| HUNTINGTON INSURANCE INC3 | 121 N MARKET ST, STE 400 WOOSTER, OH 44691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 8.66% |
| MICHAEL T EISEL3 Filed as: MICHAEL T. EISEL | 1318 LOGAN LANE WOOSTER, OH 44691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $312 | — | $312 | 0.83% |
| THOMAS W BOSTON3 Filed as: THOMAS W. BOSTON | 13661 MARKET AVE N HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $30 | — | $30 | 0.08% |
| HUNTINGTON INSURANCE INC3 | 121 N MARKET ST, STE 400 WOOSTER, OH 44691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 8.87% |
| MICHAEL T EISEL3 Filed as: MICHAEL T. EISEL | 1318 LOGAN LANE WOOSTER, OH 44691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $228 | — | $228 | 1.18% |
| VAL YOUNG3 | 3974 N KESSINGER LN BOISE, ID 83703 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $84 | — | $84 | 0.43% |
| THOMAS W BOSTON3 Filed as: THOMAS W. BOSTON | 13661 MARKET AVE N HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $17 | — | $17 | 0.09% |
| INTEGRATED EMPLOYEE BENEFIT SOLUTIO3 | 5880 VENTURE DR DUBLIN, OH 43017 | COLONIAL LIFE & ACCIDENT INS. CO. | $716 | — | $716 | 5.23% |
| VIRGINIA KEZELE3 | 15007 W PINCHOT AVE GOODYEAR, AZ 85395 | COLONIAL LIFE & ACCIDENT INS. CO. | $59 | — | $59 | 0.43% |
| HOWARD B MESZAROS3 | 8680 COLVIN DRIVE PLAIN CITY, OH 43064 | COLONIAL LIFE & ACCIDENT INS. CO. | $40 | — | $40 | 0.29% |
| WILLIAM KEZELE3 | PO BOX 5597 TWIN FALLS, ID 83303 | COLONIAL LIFE & ACCIDENT INS. CO. | $30 | — | $30 | 0.22% |
| JP GRIFFETH ENTERPRISES INC3 | 12416 WEST BRADDOCK DRIVE BOISE, ID 83709 | COLONIAL LIFE & ACCIDENT INS. CO. | $29 | — | $29 | 0.21% |
| JEFFREY PRATT GRIFFETH3 | 12416 WEST BRADDOCK DRIVE BOISE, ID 83709 | COLONIAL LIFE & ACCIDENT INS. CO. | $27 | — | $27 | 0.20% |
| MARY BROOK FORD3 | 5475 N MITCHUM AVE MERIDIAN, ID 83646 | COLONIAL LIFE & ACCIDENT INS. CO. | $9 | — | $9 | 0.07% |
| INTEGRATED EMPLOYEE BENEFIT SOLUTIO3 | 5880 VENTURE DR DUBLIN, OH 43017 | COLONIAL LIFE & ACCIDENT INS. CO. | $260 | — | $260 | 2.63% |
| HOWARD B MESZAROS3 | 8680 COLVIN DRIVE PLAIN CITY, OH 43064 | COLONIAL LIFE & ACCIDENT INS. CO. | $123 | — | $123 | 1.25% |
| DENNIS N SHAY3 | 409 MANILA PLACE WESTERVILLE, OH 43081 | COLONIAL LIFE & ACCIDENT INS. CO. | $31 | — | $31 | 0.31% |
| MARY BROOK FORD3 | 5475 N MITCHUM AVE MERIDIAN, ID 83646 | COLONIAL LIFE & ACCIDENT INS. CO. | $12 | — | $12 | 0.12% |
| VIRGINIA KEZELE3 | 15007 W PINCHOT AVE GOODYEAR, AZ 85395 | COLONIAL LIFE & ACCIDENT INS. CO. | $2 | — | $2 | 0.02% |
| INTEGRATED EMPLOYEE BENEFIT SOLUTIO3 | 5880 VENTURE DRIVE DUBLIN, OH 43017 | COLONIAL LIFE & ACCIDENT INS. CO. | $17 | — | $17 | 2.45% |
| MAGDALENA RUIZ DE GOMEZ3 | 163 STILLWOOD DR NEWNAN, GA 30265 | COLONIAL LIFE & ACCIDENT INS. CO. | $5 | — | $5 | 0.72% |
| ERIN COLLEEN LANINGA3 | 4474 SARASOTA AVE YORKVILLE, IL 60560 | COLONIAL LIFE & ACCIDENT INS. CO. | $3 | — | $3 | 0.43% |
| ALAN L REITER3 | 21100 SHELL VALLEY RD EDMONDS, WA 98026 | COLONIAL LIFE & ACCIDENT INS. CO. | $1 | — | $1 | 0.14% |
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 | 344 | 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) | 344 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | COMMUNITY INSURANCE COMPANY | 355 | $773K |
| Dental | COMMUNITY INSURANCE COMPANY | 355 | $657K |
| Life insurance(7 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 344 | $329K |
| Short-term disability(6 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 138 | $140K |
| Long-term disability(4 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 344 | $213K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 355 | $657K |
| Other | AETNA LIFE INSURANCE CO. | 344 | $189K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 355 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.