| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: ONEDIGITAL EXPRESS LLC | 4200 ROCKSIDE ROAD, SUITE 103 INDEPENDENCE, OH 44131 | COMMUNITY INSURANCE COMPANY | $116K | $12K | $128K | 3.29% |
| ZIOTA PLANS INC3 Filed as: ZIOTA PLANS INC. | 4200 ROCKSIDE ROAD, SUITE 300 INDEPENDENCE, OH 44131 | COMMUNITY INSURANCE COMPANY | $10K | $0 | $10K | 0.26% |
| ENROLLEASE3 Filed as: ONEDIGITAL EXPRESS LLC | 4200 ROCKSIDE ROAD, SUITE 103 INDEPENDENCE, OH 44131 | ANTHEM LIFE INSURANCE COMPANY | $5K | $476 | $5K | 3.29% |
| ZIOTA PLANS INC3 Filed as: ZIOTA PLANS INC. | 4200 ROCKSIDE ROAD, SUITE 300 INDEPENDENCE, OH 44131 | ANTHEM LIFE INSURANCE COMPANY | $414 | $0 | $414 | 0.26% |
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM H. HERTZOG | 13700 STATE ROAD NOTH ROYALTON, GA 44133 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $32 | $4K | 4.78% |
| ENROLLEASE3 Filed as: ONEDIGITAL EXPRESS LLC | 200 GALLERIA PARWAY ATLANTA, GA 30339 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 2.42% |
| KATHLEEN BYRNE3 Filed as: KATHLEEN BRYNE | 7142 ANTHONY LANE PARMA HEIGHTS, OH 44130 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 1.86% |
| PATRICIA HERTZOG3 | 8825 CHAUCER BOULEVARD BROADVIEW HEIGHTS, GA 44147 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $861 | $16 | $877 | 0.95% |
| DEBORAH S GOLDEN3 Filed as: DEBORAH A. WILLHITE | 3619 1/2 PONCIANA AVENUE AKRON, GA 44319 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $196 | $1 | $197 | 0.21% |
| VALENE M WOLFE3 Filed as: VALENE M. WOLFE | 1265 CIRCLE DRIVE AKRON OH, GA 44310 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $196 | $0 | $196 | 0.21% |
| SHARON IGNASIAK3 Filed as: SHARON M. IGNASIAK AND OTHER AGENTS | 8427 MUIRLAND DRIVE CLEVELAND, OH 44147 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $185 | $1 | $186 | 0.20% |
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 | 376 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 378 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 659 | $3.9M |
| Dental | COMMUNITY INSURANCE COMPANY | 659 | $3.9M |
| Vision | COMMUNITY INSURANCE COMPANY | 659 | $3.9M |
| Life insurance(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 193 | $249K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 121 | $92K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 193 | $157K |
| Prescription drug | COMMUNITY INSURANCE COMPANY | 659 | $3.9M |
| Other(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 193 | $249K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 659 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.