| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ERIKA M PERRIN3 Filed as: ERIKA M. PERRIN | 1200 PLANTATION ISLAND DRIVE S ST. AUGUSTINE, FL 32080 | COMPANION LIFE INSURANCE COMPANY | $17K | — | $17K | 10.99% |
| COVEY RUN INSURANCE LLC3 Filed as: COVEY RUN INSURANCE | 341 COPPER CREEK AMHERST, OH 44001 | COMPANION LIFE INSURANCE COMPANY | $9K | — | $9K | 6.02% |
| TODD ASSOCIATES, INC.3 Filed as: TODD ASSOCIATES | 23825 COMMERCE PARK DRIVE, SUITE A BEACHWOOD, OH 44122 | COMPANION LIFE INSURANCE COMPANY | $2K | — | $2K | 1.05% |
| ERIKA M PERRIN3 Filed as: ERIKA PERRIN | 11565 GRENADA CIRCLE NE HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 13.34% |
| THOMAS W BOSTON3 Filed as: THOMAS BOSTON | 1275 W MAPLE ST. HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $208 | — | $208 | 1.00% |
| ANTHONY LALLI3 | 191 GREAT OAKS TRAIL WADSWORTH, OH 44281 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $177 | — | $177 | 0.85% |
| ERIKA M PERRIN3 Filed as: ERIKA PERRIN | 11565 GRENADA NE HARTVILLE, OH 44632 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 7.68% |
| MARK JOHNSON3 | 2121 E MARKET ST. SUITE B AKRON, OH 44312 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $327 | — | $327 | 2.29% |
| ANTHONY V LALLI INSURANCE LLC3 | 881 BALDWIN DRIVE TALLMADGE, OH 44278 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $238 | — | $238 | 1.67% |
| AON CONSULTING INC3 Filed as: ALLSTATE HEWITT | 1776 AHL DRIVE JACKSONVILLE, FL 32224 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $232 | — | $232 | 1.62% |
| AON CONSULTING INC3 Filed as: ALLSTATE FS | 1776 AHL DRIVE JACKSONVILLE, FL 32224 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.01% |
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 | 301 | 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) | 301 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 69 | $14K |
| Dental | COMPANION LIFE INSURANCE COMPANY | 306 | $154K |
| Vision | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 69 | $14K |
| Life insurance | COMPANION LIFE INSURANCE COMPANY | 306 | $154K |
| Short-term disability | COMPANION LIFE INSURANCE COMPANY | 306 | $154K |
| Other(3 contracts, 3 carriers) | COMPANION LIFE INSURANCE COMPANY | 306 | $182K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 306 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.