| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURANCE PARTNERS AGENCY INC3 | 26865 CENTER RIDGE RD WESTLAKE, OH 44145 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 6.31% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | PRINCIPAL LIFE INSURANCE COMPANY | $593 | — | $593 | 1.69% |
| SELF FUNDED PLANS AGENCY INC3 | 6000 LOMBARDO CENTER #201B SEVEN HILLS, OH 44131 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 9.66% |
| DMC BENEFITS INC3 Filed as: DMC BENEFITS | 1485 PRINCE CHARLES AVE WESTLAKE, OH 44145 | METROPOLITAN LIFE INSURANCE COMPANY | $716 | — | $716 | 4.89% |
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 | 403 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 403 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HCC LIFE INSURANCE COMPANY | 383 | $287K |
| Dental | HCC LIFE INSURANCE COMPANY | 383 | $287K |
| Vision | HCC LIFE INSURANCE COMPANY | 383 | $287K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 481 | $50K |
| Short-term disability | HCC LIFE INSURANCE COMPANY | 383 | $287K |
| Prescription drug | HCC LIFE INSURANCE COMPANY | 383 | $287K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 383 | $287K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 481 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 481 | — |
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.