| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOVANIC, GREGORY3 | 8009 E MARKET ST WARREN, OH 44484 | COMMUNITY INSURANCE COMPANY | $11K | — | $11K | 1.95% |
| BROKERNET INC3 | 110 NORTHWOODS BLVD STE C COLUMBUS, OH 43235 | COMMUNITY INSURANCE COMPANY | $0 | $1 | $1 | 0.00% |
| HOVANIC, GREGORY3 | 8009 E MARKET ST WARREN, OH 44484 | ANTHEM LIFE INSURANCE COMPANY | $2K | — | $2K | 11.98% |
| BROKERNET INC3 | 110 NORTHWOODS BLVD STE C COLUMBUS, OH 43235 | ANTHEM LIFE INSURANCE COMPANY | $0 | $954 | $954 | 5.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 111 VETERANS BLVD STE 1130 METAIRIE, LA 70005 | CONTINENTAL AMERICAN INSURANCE COMPANY | $113 | — | $113 | 5.81% |
| LEWIS P AGNONE3 | 360 EASTWOOD DR HUBBORD, OH 44425 | CONTINENTAL AMERICAN INSURANCE COMPANY | $66 | — | $66 | 3.39% |
| MELLISSA ANN GREENE-SHULTZ3 Filed as: MELLISSA A GREENE-SHULTZ | 6731 LINCOLN AVE HUBBORD, OH 44425 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | — | $26 | 1.34% |
| CHRISTOPHER KOSCHACK3 | 875 5TH ST STRUTHERS, OH 44471 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | — | $13 | 0.67% |
| TJH CONSULTANTS LLC3 | 25144 ROCKY HARBOUR DR PERRYSBURG, OH 43551 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | — | $11 | 0.57% |
| MICHAEL ROBERT YURCZYK3 Filed as: MICHAEL R YURCZYK | 701 N 2ND STREET #602 MINNEAPOLIS, MN 55401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.51% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60610 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | 0.36% |
| TJH CONSULTANTS LLC3 | 25144 ROCKY HARBOUR DR PERRYSBURG, OH 43551 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.31% |
| COREY J JONES3 | 2400 HENN-HYDE ROAD WARREN, OH 44484 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.26% |
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET CHICAGO, IL 60610 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.26% |
| JV FLORIDA INSURANCE CORP3 | 2821 NORTH OCEAN BLVD UNIT 305 FORT LAUDERDALE, FL 33308 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.15% |
| ANDREW F VERBOSKY JR3 Filed as: ANDREW F VERBOSKY | 491 QUARRY LANE WARREN, OH 44483 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.05% |
| PAUL D QUILLIN3 Filed as: PAUL QUILLIN | 3144 MEANDERWOOD DR CANFIELD, OH 44406 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.05% |
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 | 159 | 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) | 159 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 267 | $549K |
| Dental | COMMUNITY INSURANCE COMPANY | 267 | $549K |
| Vision | COMMUNITY INSURANCE COMPANY | 267 | $549K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 143 | $19K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 143 | $19K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 143 | $19K |
| Other(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 143 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 267 | — |
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.