| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUMMEL GROUP INC3 Filed as: HUMMEL GROUP, INC. | P.O. BOX 250 BERLIN, OH 44610 | AULTCARE INSURANCE COMPANY | $20K | — | $20K | 2.26% |
| HUMMEL GROUP INC3 Filed as: HUMMEL GROUP, INC. | PO BOX 250 BERLIN, OH 44610 | AFLAC | $108 | — | $108 | 2.31% |
| AMANDA MCDANIEL3 | 167 RYS VALLEY RD SE GNADENHUTTEN, OH 44629 | AFLAC | $74 | — | $74 | 1.58% |
| JUDY KAUFFMAN3 | PO BOX 135 NEW WILMINGTON, PA 16142 | AFLAC | $52 | — | $52 | 1.11% |
| MICHAEL FINLEY3 | 907 E FRONT STREET DOVER, OH 44622 | AFLAC | $40 | — | $40 | 0.85% |
| MARTHA A HUFFMAN3 Filed as: MARTHA HUFFMAN | 2382 PLYMOUTH EAST RD GREENWICH, OH 44837 | AFLAC | $31 | — | $31 | 0.66% |
| MARK L HUFHAND3 Filed as: MARK HUFHAND | 3313 LEE STREET NW NORTH CANTON, OH 44720 | AFLAC | $24 | — | $24 | 0.51% |
| MICHAEL C WALKER3 Filed as: MICHAEL REBER | 20101 HERON CROSSING DR TAMPA, FL 33647 | AFLAC | $24 | — | $24 | 0.51% |
| MAKOWSKI INS AGCY INC3 Filed as: MAKOWSKI INS AGENCY INC | 9404 WOODSHIP LN BROADVIEW HTS, OH 44147 | AFLAC | $24 | — | $24 | 0.51% |
| DAVA HERRON3 | 9612 WILKSHIRE BLVD NE BOLIVAR, OH 44612 | AFLAC | $20 | — | $20 | 0.43% |
| NICHOLAS PETRYCKI3 | 8141 LARKSPUR AVE NW NORTH CANTON, OH 44720 | AFLAC | $18 | — | $18 | 0.38% |
| WILLIAM HERDER3 | 3519 BAKERS LN LUCAS, OH 44843 | AFLAC | $18 | — | $18 | 0.38% |
| WILLIAM HERDER3 | 112 EDMONTON RD BELLVILLE, OH 44813 | AFLAC | $13 | — | $13 | 0.28% |
| ROBERT WRIGHT3 | 3980 CORBY ST NW UNIONTOWN, OH 44685 | AFLAC | $11 | — | $11 | 0.23% |
| MICHAEL C WALKER3 Filed as: MICHAEL QUINN | 8580 MAJORCA LANE NAPLES, FL 34114 | AFLAC | $10 | — | $10 | 0.21% |
| OPPORTUNITY INC3 | 9404 WOODCHIP LN BROADVIEW HEIGHTS, OH 44147 | AFLAC | $4 | — | $4 | 0.09% |
| ANNAMARIE BLASE3 | 9241 HOCKING ST NW MASSILLON, OH 44646 | AFLAC | $4 | — | $4 | 0.09% |
| ROBERTA DICKINSON3 | PO BOX 360277 STRONGSVILLE, OH 44136 | AFLAC | $3 | — | $3 | 0.06% |
| SCOTT A SMITH3 Filed as: SCOTT SMITH | 5300 OAKBROOK PKWY STE 300 STE 350 NORCROSS, GA 30093 | AFLAC | $2 | — | $2 | 0.04% |
| JOSHUA K HOPPE3 Filed as: JOSHUA HOPPE | 580 WHITE PLAINS RD STE 115 TARRYTOWN, NY 10591 | AFLAC | $1 | — | $1 | 0.02% |
| RONALD J GRETHEL3 Filed as: RONALD GRETHEL | 648 HANNA AVE LOVELAND, OH 45140 | AFLAC | $1 | — | $1 | 0.02% |
| JOHN C RASCHELLA3 Filed as: JOHN RASHELLA | 20301 GRD OAK SH BLVD 118-32 ESTERO, FL 33928 | AFLAC | $1 | — | $1 | 0.02% |
| VARIOUS - SEE ATTACHED3 Filed as: AFLAC | 1932 WYNNTON R COLUMBUS, GA 31999 | AFLAC | — | — | $0 | 0.00% |
| RICO PEREZ3 | 6000 LIMBARDO CTR STE 145 SEVEN HILLS, OH 44131 | AFLAC | — | — | $0 | 0.00% |
| LAYNE FINANCIAL INC3 | 315 GREEN RIDGE RD H-1 NEW CASTLE, PA 16105 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $9K | $4K | $12K | — |
| LIFETIME FINANCIAL GROWTH OF N3 | 24500 CHAGRIN BLVD BEACHWOOD, OH 44122 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $72 | — | $72 | — |
| HUMMEL GROUP INC Filed as: HUMMEL GROUP, INC. | PO BOX 250 BERLIN, OH 44610 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | -$3K | — | -$3K | — |
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 | 209 | 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) | 209 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 125 | $0 |
| Dental | AFLAC | 7 | $5K |
| Life insurance | AFLAC | 7 | $5K |
| Short-term disability | AFLAC | 7 | $5K |
| Stop-loss / reinsurancereinsurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 125 | $0 |
| Other | AFLAC | 7 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 209 | — |
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.