| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FOREST S STARR3 | 111 WEST ERIE ST JEFFERSON, OH 44047 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 20.69% |
| WILLIAM JAY MOTHERSBAUGH3 Filed as: WILLIAM MOTHERSBAUGH | 43705 PINEY HOLLOW LANE PAINESVILLE, OH 44077 | CONTINENTAL AMERICAN INSURANCE COMPANY | $337 | — | $337 | 1.69% |
| CHARRLES JOBE3 | 8421 EVERGREEN DR SAGAMORE HILLS, OH 44067 | CONTINENTAL AMERICAN INSURANCE COMPANY | $308 | — | $308 | 1.55% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE ATLANTA, GA 30339 | CONTINENTAL AMERICAN INSURANCE COMPANY | $285 | — | $285 | 1.43% |
| RICO PEREZ3 | 2720 SWEETWATER DR BRECKSVILE, OH 44141 | CONTINENTAL AMERICAN INSURANCE COMPANY | $243 | — | $243 | 1.22% |
| MAKOWSKI INS AGCY INC3 Filed as: MAKOWSKI INS AGENCY INC | 9404 WOODCHIP LANE BROADVIEW HTS, OH 44147 | CONTINENTAL AMERICAN INSURANCE COMPANY | $128 | — | $128 | 0.64% |
| CRP BENEFIT SERVICES INC3 | 5755 GRANGER RD INDEPENDENCE, OH 44131 | CONTINENTAL AMERICAN INSURANCE COMPANY | $124 | — | $124 | 0.62% |
| LINDA STARR3 | 2228 CHAPEL RD JEFFERSON, OH 44047 | CONTINENTAL AMERICAN INSURANCE COMPANY | $65 | — | $65 | 0.33% |
| EXPRESSLINK GENERAL AGENCY LLC3 | 4200 ROCKSIDE RD CLEVELAND, OH 44131 | CONTINENTAL AMERICAN INSURANCE COMPANY | $46 | — | $46 | 0.23% |
| JOHN D SUSIE3 Filed as: JOHN SUSIE | 8682 HAWICK CT N DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $29 | — | $29 | 0.15% |
| MARK METTILLE3 Filed as: MARK WHEELER | 773 SANDUSKY ST CONNEAUT, OH 44030 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | — | $17 | 0.09% |
| OPPORTUNITY INC3 | 9404 WOODCHIP LANE BROADVIEW HTS, OH 44047 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | — | $17 | 0.09% |
| ROBERTA DICKINSON3 | 16141 HOWE RD STRONGSVILLE, OH 44136 | CONTINENTAL AMERICAN INSURANCE COMPANY | $15 | — | $15 | 0.08% |
| TIMOTHY R QUINLAN3 Filed as: TIMOTHY QUINLAN | 137 SEMICONON ST RENFREW, PA 16053 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | 0.04% |
| STEPHEN BRIAN LOMBARDOZZI3 | 5329 GARGASZ DR LORAIN, OH 44053 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.03% |
| HARE AND ASSOCIATES LLC3 Filed as: HARE AND ASSOC | 7814 CRAINDOW CT DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.01% |
| JACK A SHADE3 Filed as: JACK SHADE | 470 OLDE WORTHINGTON RD WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 323 WEST LAKESIDE AVE STE 410 CLEVELAND, OH 44113 | MEDMUTUAL LIFE INSURANCE COMPANY | $625 | — | $625 | 4.93% |
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 | 194 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 194 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CONTINENTAL AMERICAN INSURANCE COMPANY | 93 | $20K |
| Life insurance | MEDMUTUAL LIFE INSURANCE COMPANY | 194 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 194 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.