| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALPHA BENEFITS INC3 Filed as: ALPHA BENEFITS INC. | 4200 ROCKSIDE ROAD #300 CLEVELAND, OH 44131 | MEDICAL MUTUAL | $27K | $25K | $52K | 2.95% |
| RM BENEFIT CONSULTANTS, INC.3 | 30432 EUCLID AVENUE, SUITE 115 WICKLIFFE, OH 44092 | COMMUNITY INSURANCE COMPANY | $5K | $0 | $5K | 5.00% |
| RM BENEFIT CONSULTANTS, INC. | 30432 EUCLID AVENUE, SUITE 115 WICKLIFFE, OH 44092 | 5STAR LIFE INSURANCE COMPANY | $4K | — | $4K | 20.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 38-2383171 NONE | Claims processing Service code 12 | 33 FITCH BLVD. AUSTINTOWN, OH 44515 | $32K |
| BARNES WENDLING CPAS, INC. EIN 34-1463411 NONE | Accounting (including auditing) Service code 10 | 1350 EUCLID AVENUE, SUITE 1400 CLEVELAND, OH 44114 | $16K |
| MORGAN STANLEY SMITH BARNEY EIN 26-4310632 NONE | Recordkeeping fees; Other investment fees and expenses; Other services; Investment advisory (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 1301 EAST 9TH STREET, SUITE 3100 CLEVELAND, OH 44114 | $10K |
| KADISH, HINKEL AND WEIBEL EIN 34-1168263 NONE | Insurance agents and brokers Service code 22 | 1360 E. 9TH STREET, SUITE 400 CLEVELAND, OH 44114 | $7K |
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 | 131 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEDICAL MUTUAL | 112 | $1.8M |
| Dental | COMMUNITY INSURANCE COMPANY | 127 | $99K |
| Life insurance | 5STAR LIFE INSURANCE COMPANY | 276 | $18K |
| Prescription drug | MEDICAL MUTUAL | 112 | $1.8M |
| Other | 5STAR LIFE INSURANCE COMPANY | 276 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 276 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.