| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: ONEDIGITAL EXPRESS LINK LLC | 4200 ROCKSIDE ROAD SUITE 300 INDEPENDENCE, OH 44131 | MEDICAL MUTUAL | $34K | $10K | $44K | 6.51% |
| ENROLLEASE3 Filed as: ONEDIGITAL EXPRESSLINK LLC | 4200 ROCKSIDE ROAD SUITE 300 CLEVELAND, OH 44131 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7K | $2K | $9K | 12.57% |
| ENROLLEASE3 | 660 YORK STREET SUITE 102 SAN FRANCISCO, CA 94110 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $259 | — | $259 | 0.38% |
| MOSHER, TIM3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $7K | — | $7K | 25.33% |
| WEARSCH, DANIEL3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $7K | — | $7K | 22.92% |
| EVERETT C BICKEL3 Filed as: EVERETT, ADDISON | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 15.12% |
| FRIASON, JOHANNA3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 6.37% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN, JAYLEN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 5.12% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PALMER, EVAN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 3.95% |
| TSCHIMPERLE, MATT3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $847 | — | $847 | 2.93% |
| BISHOP INSURANCE, LLC3 Filed as: BISHOP, MACKENZIE | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $412 | — | $412 | 1.43% |
| THRASHER, HALEIGH3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $367 | — | $367 | 1.27% |
| LAWHUN, BOBBY3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $343 | — | $343 | 1.19% |
| LAWRENCE TODD FUGATE3 Filed as: LAWRENCE, DARREN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $152 | — | $152 | 0.53% |
| DYKES, JILL3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $150 | — | $150 | 0.52% |
| KABANDA, JACQUES3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $83 | — | $83 | 0.29% |
| DANIELS INSURANCE AGENCY3 Filed as: DANIELS, BRIAN | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $67 | — | $67 | 0.23% |
| BRACKETT, WILLIAM3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $51 | — | $51 | 0.18% |
| BRANDT INC3 Filed as: BRANDT, JULIE | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $26 | — | $26 | 0.09% |
| SEYMOUR, DAKOTAH3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $26 | — | $26 | 0.09% |
| STEIDING, DELANEY3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $26 | — | $26 | 0.09% |
| LAWRENCE TODD FUGATE3 Filed as: LAWRENCE, JAMES | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $22 | — | $22 | 0.08% |
| DAVIDSON BENEFITS PLANNING LLC3 Filed as: DAVIDSON, REGINA | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $15 | — | $15 | 0.05% |
| OWENS WILLIAM HAROLD3 Filed as: OWENS, BAILEY | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $15 | — | $15 | 0.05% |
| JERRY A LYKE & ASSOCIATES3 | 4017 WHIPPLE AVENUE NORTHWEST CANTON, OH 44718 | HARTFORD LIFE AND ACCIDENT | $4K | — | $4K | 15.00% |
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 | 129 | 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) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEDICAL MUTUAL | 80 | $675K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 129 | $68K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 129 | $68K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 129 | $68K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 38 | $28K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 38 | $28K |
| Prescription drug | MEDICAL MUTUAL | 80 | $675K |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 140 | $97K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 140 | — |
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.