Filings through .
| Carrier | Coverage | Premium, renewal |
|---|---|---|
Stop-loss | Stop-loss | Pro |
Broker: Strategic Benefits STDOtherLife | STDOtherLife | Pro |
Broker: Patriot Growth Insurance Services Dental | Dental | Pro |
Broker: Strategic Benefits of Cincinnati Vision | Vision | Pro |
See premium, retention and renewal dates for 5 contracts with Pro.
Pro shows premium, covered lives, retention, contract numbers and the renewal date for each contract. Free for 7 days, no card. Then $49 a month. Cancel any time.
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 | 114 | 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) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 182 | $50K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 85 | $14K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 56 | $20K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 63 | $32K |
| Stop-loss / reinsurancereinsurance | PAN-AMERICAN LIFE INSURANCE COMPANY | 100 | $435K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 63 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 182 | — |
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 changed between filings. The plan moved between insured and self-funded, or contracts were added or removed. The transition window is open.