| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SAVAGE & ASSOCIATES INC3 Filed as: SAVAGE & ASSOCS INC | 4427 TALMADGE DR TOLEDO, OH 43623 | VISION SERVICE PLAN | $3K | — | $3K | 6.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 650 E CARMEL DRIVE SUITE 400 CARMEL, IN 46032 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 4.73% |
| JACOB COX3 Filed as: JACOB N COX | 140 LANE 100 LONG LAKE FREEMONT, IN 46737 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 2.40% |
| SAVAGE & ASSOCIATES INC3 Filed as: SAVAGE & ASSOCS INC | 4427 TALMADGE DR TOLEDO, OH 43623 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $159 | — | $159 | 0.29% |
| JOSEPH E TROIANO3 | 2854 LYTLE RD CENTERBURG, OH 430111114 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $154 | — | $154 | 0.28% |
| SHAWN L MOSELEY3 | 3700 SHAGBARK TRAIL GALENA, OH 43021 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $102 | — | $102 | 0.19% |
| JACK L SHORT3 | 176 PATTI DR WESTERVILLE, OH 43081 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $88 | — | $88 | 0.16% |
| GAYLE A. DENNIS3 Filed as: GAYLE A DENNIS | 1760 TOWNSHIP ROAD 55 BELLEFONTAINE, OH 43311 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $85 | — | $85 | 0.16% |
| GREGORY P HOLLERN3 | 400 CARDINAL HILL LANE POWELL, OH 43065 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $71 | — | $71 | 0.13% |
| GARY MOSELEY3 Filed as: GARY L MOSELEY | 1760 TOWNSHIP ROAD 55 BELLEFONTAINE, OH 43311 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $68 | — | $68 | 0.12% |
| DENNIS N SHAY3 Filed as: DENNIS SHAY | 409 MANILA PLACE WESTERVILLE, OH 43081 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14 | — | $14 | 0.03% |
| BRAD MESZAROS3 | 50 OLD VILLAGE RD, SUITE 213 COLUMBUS, OH 43228 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14 | — | $14 | 0.03% |
| DORIS A. BOWLING3 Filed as: DORIS A BOWLING | 693 STATE ROUTE 314 N MANSFIELD, OH 44903 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 650 E CARMEL DRIVE SUITE 400 CARMEL, IN 46032 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $162 | $1K | $1K | 14.28% |
| MONTANA HEALTH NETWORK DBA FRINGE3 | 393 W GORDON AVE. STE 1 LAYTON, UT 84041 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $792 | — | $792 | 8.30% |
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 | 422 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 7 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 431 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 298 | $55K |
| Life insurance(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 319 | $162K |
| Short-term disability | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 161 | $55K |
| Long-term disability(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 319 | $162K |
| Other(4 contracts, 4 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 394 | $171K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 394 | — |
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."
No prospect flags tripped on this filing.