| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ONE SOURCE ADVISORS INC3 Filed as: ONE SOURCE ADVISORS INC. | 555 METRO PL N STE 480 DUBLIN, OH 43017 | UNITEDHEALTHCARE INSURANCE COMPANY | $23K | — | $23K | 2.84% |
| ONE SOURCE ADVISORS INC3 Filed as: ONE SOURCE ADVISORS INC. | 555 METRO PL N STE 480 DUBLIN, OH 43017 | DELTA DENTAL | $3K | — | $3K | 6.14% |
| ONE SOURCE ADVISORS INC3 | 555 METRO PL N STE 480 DUBLIN, OH 43017 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| ONE SOURCE ADVISORS INC3 | 555 METRO PL N STE 480 DUBLIN, OH 43017 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| ONE SOURCE ADVISORS INC | 555 METRO PL N STE 480 DUBLIN, OH 43017 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| ONE SOURCE ADVISORS INC3 | 555 METRO PL N STE 480 DUBLIN, OH 43017 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| ONE SOURCE ADVISORS INC3 Filed as: ONE SOURCE ADVISORS INC. | 555 METRO PL N STE 480 DUBLIN, OH 43017 | VISION SERVICE PLAN | $760 | — | $760 | 7.40% |
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 | 198 | 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) | 198 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 185 | $824K |
| Dental | DELTA DENTAL | 198 | $43K |
| Vision | VISION SERVICE PLAN | 77 | $10K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 135 | $29K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 61 | $19K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 123 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 198 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.