| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS AGENCY | P.O. BOX 906 FOSTORIA, OH 44830 | COMMUNITY LIFE INSURANCE COMPANY | $17K | — | $17K | 1.39% |
| W C FELTON AGENCY INC3 | 51 S WASHINGTON ST TIFFIN, OH 44883 | COMMUNITY LIFE INSURANCE COMPANY | $17K | — | $17K | 1.34% |
| INSGROUP INC3 Filed as: FIRST INSURANCE GROUP OF THE M | 220 PERRY ST. #200 FOSTORIA, OH 44830 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | $5K | $8K | 7.39% |
| W C FELTON AGENCY INC3 | 51 S. WASHINGTON PO BOX 708 TIFFIN, OH 44883 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 4.18% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 27064 OAKMEAD DR. PERRYSBURG, OH 43551 | ALLSTATE | $2K | — | $2K | 8.97% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS AGENCY | P.O. BOX 906 FOSTORIA, OH 44830 | ALLSTATE | $2K | — | $2K | 7.53% |
| TAG 2 BENEFITS INC3 | PO BOX 122824 FORT WORTH, TX 76121 | ALLSTATE | $85 | — | $85 | 0.36% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE | $76 | — | $76 | 0.32% |
| TAG BENEFITS GROUP LLC3 Filed as: TAG BENEFITS GROUP, LLC | 502 N. MAIN ST. #139 WEATHERFORD, TX 76086 | ALLSTATE | $21 | — | $21 | 0.09% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 27064 OAKMEAD DR. PERRYSBURG, OH 43551 | ALLSTATE | $860 | — | $860 | 6.07% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS AGENCY | P.O. BOX 906 FOSTORIA, OH 44830 | ALLSTATE | $840 | — | $840 | 5.93% |
| TAG 2 BENEFITS INC3 | PO BOX 122824 FORT WORTH, TX 76121 | ALLSTATE | $51 | — | $51 | 0.36% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE | $48 | — | $48 | 0.34% |
| TAG BENEFITS GROUP LLC3 Filed as: TAG BENEFITS GROUP, LLC | 502 N. MAIN ST. #139 WEATHERFORD, TX 76086 | ALLSTATE | $13 | — | $13 | 0.09% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 27064 OAKMEAD DR. PERRYSBURG, OH 43551 | ALLSTATE | $471 | — | $471 | 4.19% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS AGENCY | P.O. BOX 906 FOSTORIA, OH 44830 | ALLSTATE | $309 | — | $309 | 2.75% |
| TAG 2 BENEFITS INC3 | PO BOX 122824 FORT WORTH, TX 76121 | ALLSTATE | $21 | — | $21 | 0.19% |
| TAG BENEFITS GROUP LLC3 Filed as: TAG BENEFITS GROUP, LLC | 502 N. MAIN ST. #139 WEATHERFORD, TX 76086 | ALLSTATE | $9 | — | $9 | 0.08% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE | $4 | — | $4 | 0.04% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS AGENCY | P.O. BOX 906 FOSTORIA, OH 44830 | ALLSTATE | $622 | — | $622 | 7.50% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 1205 LOUISIANA AVE. #441 PERRYSBURG, OH 43552 | ALLSTATE | $622 | — | $622 | 7.50% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 27064 OAKMEAD DR. PERRYSBURG, OH 43551 | ALLSTATE | $318 | — | $318 | 7.20% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS AGENCY | P.O. BOX 906 FOSTORIA, OH 44830 | ALLSTATE | $265 | — | $265 | 6.00% |
| ANTHONY JOSEPH MOTTER3 Filed as: ANTHONY LLOYD | 27064 OAKMEAD DR. PERRYSBURG, OH 43551 | ALLSTATE | $246 | — | $246 | 5.98% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS AGENCY | P.O. BOX 906 FOSTORIA, OH 44830 | ALLSTATE | $222 | — | $222 | 5.39% |
| MICHAEL MINER3 | 301 N. MAIN ST. SUITE 1030 WINSTON SALEM, NC 27101 | ALLSTATE | $7 | — | $7 | 0.17% |
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 | 168 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 168 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY LIFE INSURANCE COMPANY | 133 | $1.2M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 168 | $111K |
| Vision(2 contracts, 2 carriers) | COMMUNITY LIFE INSURANCE COMPANY | 168 | $1.4M |
| Life insurance(2 contracts, 2 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 168 | $123K |
| Short-term disability(2 contracts) | ALLSTATE | 44 | $32K |
| Long-term disability(2 contracts) | ALLSTATE | 44 | $32K |
| Other(4 contracts, 2 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 168 | $134K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 168 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.