| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUMMEL GROUP INC3 | PO BOX 3 ORRVILLE, OH 44667 | COMMUNITY INSURANCE COMPANY | $10K | — | $10K | 0.94% |
| HUNTINGTON INSURANCE INC3 | PO BOX 10079 MAUMEE, OH 43537 | COMMUNITY INSURANCE COMPANY | $10K | — | $10K | 0.94% |
| SHAWAN MARQUIS AGENCY INC3 | 425 METRO PLACE N STE 140 DUBLIN, OH 43017 | COMMUNITY INSURANCE COMPANY | $8 | — | $8 | 0.00% |
| HUNTINGTON INSURANCE INC3 | PO BOX 10079 MAUMEE, OH 43537 | COMMUNITY INSURANCE COMPANY | $4K | $650 | $5K | 1.42% |
| HUMMEL GROUP INC3 | PO BOX 3 ORRVILLE, OH 44667 | COMMUNITY INSURANCE COMPANY | $4K | — | $4K | 1.22% |
| SHAWAN MARQUIS AGENCY INC3 Filed as: SHAWAN MARQUIS AGENCY | 425 METRO PLACE N STE 140 DUBLIN, OH 43017 | COMMUNITY INSURANCE COMPANY | $1K | — | $1K | 0.33% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE INC. | PO BOX 10079 MAUMEE, OH 43537 | ANTHEM LIFE INSURANCE COMPANY | $2K | $588 | $2K | 5.38% |
| HUMMEL GROUP INC3 | PO BOX 3 ORRVILLE, OH 44667 | ANTHEM LIFE INSURANCE COMPANY | $2K | — | $2K | 3.94% |
| HUNTINGTON INSURANCE INC3 | 221 S CHURCH ST BOWLING GREEN, OH 43402 | AMERICAN UNITED LIFE INSURANCE COMPANY | $3K | — | $3K | 7.50% |
| HUMMEL GROUP INC3 | PO BOX 3 ORRVILLE, OH 44667 | AMERICAN UNITED LIFE INSURANCE COMPANY | $3K | — | $3K | 7.50% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 221 S CHURCH ST BOWLING GREEN, OH 43402 | VISION SERVICE PLAN | $459 | — | $459 | 2.98% |
| HUMMEL GROUP INC3 | PO BOX 3 ORRVILLE, OH 44667 | VISION SERVICE PLAN | $459 | — | $459 | 2.98% |
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 | 124 | 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) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | COMMUNITY INSURANCE COMPANY | 189 | $1.4M |
| Dental(2 contracts) | COMMUNITY INSURANCE COMPANY | 189 | $1.4M |
| Vision | VISION SERVICE PLAN | 101 | $15K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 124 | $44K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 124 | $44K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 124 | $44K |
| Other | AMERICAN UNITED LIFE INSURANCE COMPANY | 51 | $44K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 189 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.