| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCHAUER GROUP INC3 Filed as: SCHAUER GROUP INC. | 200 MARKET AVENUE NORTH, SUITE 100 CANTON, OH 44702 | UNITEDHEALTHCARE INSURANCE COMPANY | $6 | $56K | $56K | 3.50% |
| INDEPENDENT INSURANCE SERVICE3 | 200 MARKET AVENUE NORTH, SUITE 100 CANTON, OH 44702 | HARTFORD LIFE AND ACCIDENT | $6K | $0 | $6K | 9.99% |
| EXPRESSLINK GENERAL AGENCY LLC3 Filed as: EXPRESSLINK GENERAL AGENCY | 4200 ROCKSIDE ROAD, SUITE 103 INDEPENDENCE, OH 44131 | HARTFORD LIFE AND ACCIDENT | $0 | $3K | $3K | 4.78% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HUMAN RESOURCE | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | $0 | $1K | $1K | 1.85% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | $8 | $0 | $8 | 0.01% |
| SCHAUER GROUP INC3 Filed as: SCHAUER GROUP INC. | 200 MARKET AVENUE NORTH, SUITE 100 CANTON, OH 44702 | HARTFORD LIFE AND ACCIDENT | $6K | $0 | $6K | 9.23% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | $468 | $0 | $468 | 0.77% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HUMAN RESOURCE | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | HARTFORD LIFE AND ACCIDENT | $0 | $118 | $118 | 0.19% |
| SCHAUER GROUP INC3 Filed as: SCHAUER INDEPENDENT INS. SERVICE | 200 MARKET AVENUE NORTH, SUITE 100 CANTON, OH 44702 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 3.78% |
| SCHAUER GROUP INC3 Filed as: SCHAUER GROUP INC. | 200 MARKET AVENUE NORTH, SUITE 100 CANTON, OH 44702 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $814 | $0 | $814 | 9.88% |
| MARIAN E HENDERSON3 Filed as: MARIAN HENDERSON | 102 SAVANNAH WAY HENDERSONVILLE, TN 37075 | AFLAC | $174 | $0 | $174 | 10.19% |
| DAVID M CRUMLEY3 Filed as: DAVID CRUMLEY | 5111 MARYLAND WAY, SUITE 210 BRENTWOOD, TN 37027 | AFLAC | $39 | $0 | $39 | 2.28% |
| JOSHUA JONES3 | 1307 CAMPANIA NEW BRAUNFELS, TX 78132 | AFLAC | $18 | $0 | $18 | 1.05% |
| THOMAS WILLIAMSON3 | 2055 NORTH MOUNT JULIET ROAD SUITE 201 MOUNT JULIET, TN 37122 | AFLAC | $17 | $0 | $17 | 1.00% |
| KELSEY EVERT3 | 2055 NORTH MOUNT JULIET ROAD SUITE 201 MOUNT JULIET, TN 37122 | AFLAC | $12 | $0 | $12 | 0.70% |
| MJ INSURANCE3 Filed as: BRENT GOODE AND VARIOUS AGENTS | 2000 GLEN ECHO ROAD, SUITE 204 NASHVILLE, TN 37215 | AFLAC | $11 | $0 | $11 | 0.64% |
| DAVID B RAY3 Filed as: DAVID RAY | 5122 STONEWOOD DRIVE SMYRNA, TN 37167 | AFLAC | $10 | $0 | $10 | 0.59% |
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 | 283 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 51 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 334 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 350 | $1.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 360 | $51K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 156 | $8K |
| Life insurance(2 contracts) | HARTFORD LIFE AND ACCIDENT | 283 | $123K |
| Short-term disability(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 283 | $124K |
| Long-term disability(2 contracts) | HARTFORD LIFE AND ACCIDENT | 283 | $123K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 350 | $1.6M |
| Other(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 283 | $124K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 360 | — |
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.