| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS AGENCY, INC. | C/O RON BURNS P.O. BOX 906 FOSTORIA, OH 44830 | MEDICAL MUTUAL OF OHIO | $73K | $4K | $77K | 15.35% |
| CORPORATE ONE BENEFITS3 | 220 PERRY STREET SUITE 200 FOSTORIA, OH 44830 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7K | $8K | $15K | 5.36% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE 8TH FLOOR TOLEDO, OH 43604 | HARTFORD LIFE AND ACCIDENT | $30K | — | $30K | 16.18% |
| HYLANT GROUP INC3 | ATTENTION ACCOUNTING P.O. BOX 1687 TOLEDO, OH 43603 | HARTFORD LIFE AND ACCIDENT | — | $10K | $10K | 5.44% |
| SHAWN J KEELER3 | 2209 1ST AVENUE PLATTSMOUTH, NE 68048 | ALLSTATE | $16K | — | $16K | 14.60% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | P.O. BOX 40948 INDIANAPOLIS, IN 46204 | ALLSTATE | $8K | — | $8K | 7.05% |
| NICOLE MOSELEY3 | 4972 SOFTWOOD COURT WESTERVILLE, OH 43081 | ALLSTATE | $2K | — | $2K | 1.57% |
| JOSEPH E TROIANO3 | 1242 CANDORA STREET BLACKLICK, OH 43004 | ALLSTATE | $2K | — | $2K | 1.44% |
| JESSICA GORDON3 | 2955 SYCAMORE LANE BLOOMSBURG, PA 17815 | ALLSTATE | $2K | — | $2K | 1.39% |
| GAYLE A. DENNIS3 Filed as: GAYLE DENNIS | 142 PAINE STREET DELAWARE, OH 43015 | ALLSTATE | $1K | — | $1K | 1.26% |
| KEELER & ASSOCIATES3 | 2209 1ST AVENUE PLATTSMOUTH, NE 68048 | ALLSTATE | $1K | — | $1K | 1.12% |
| GARY MOSELEY3 Filed as: GARY L MOSELEY | 7415 PORT ROYALE AVENUE RUSSELLS POINT, OH 43348 | ALLSTATE | $541 | — | $541 | 0.48% |
| JACK L SHORT3 | 176 PATTI DRIVE WESTERVILLE, OH 43081 | ALLSTATE | $426 | — | $426 | 0.38% |
| SHAWN L MOSELEY3 | 4972 SOFTWOOD COURT KNOXVILLE, TN 37919 | ALLSTATE | $270 | — | $270 | 0.24% |
| SHAWN J KEELER3 | 2209 1ST AVENUE PLATTSMOUTH, NE 68048 | ALLSTATE | $20K | — | $20K | 18.80% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | P.O. BOX 40948 INDIANAPOLIS, IN 46204 | ALLSTATE | $5K | — | $5K | 5.08% |
| NICOLE MOSELEY3 | 4972 SOFTWOOD COURT WESTERVILLE, OH 43081 | ALLSTATE | $1K | — | $1K | 1.18% |
| JOSEPH E TROIANO3 | 1242 CANDORA STREET BLACKLICK, OH 43004 | ALLSTATE | $1K | — | $1K | 1.11% |
| JESSICA GORDON3 | 2955 SYCAMORE LANE BLOOMSBURG, PA 17815 | ALLSTATE | $1K | — | $1K | 1.04% |
| GAYLE A. DENNIS3 Filed as: GAYLE DENNIS | 142 PAINE STREET DELAWARE, OH 43015 | ALLSTATE | $1K | — | $1K | 0.97% |
| KEELER & ASSOCIATES3 | 2209 1ST AVENUE PLATTSMOUTH, NE 68048 | ALLSTATE | $708 | — | $708 | 0.66% |
| JACK L SHORT3 | 176 PATTI DRIVE WESTERVILLE, OH 43081 | ALLSTATE | $313 | — | $313 | 0.29% |
| GARY MOSELEY3 Filed as: GARY L MOSELEY | 7415 PORT ROYALE AVENUE RUSSELLS POINT, OH 43348 | ALLSTATE | $290 | — | $290 | 0.27% |
| SHAWN L MOSELEY3 | 4972 SOFTWOOD COURT KNOXVILLE, TN 37919 | ALLSTATE | $145 | — | $145 | 0.13% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS INC. | P.O. BOX 906 FOSTORIA, OH 44830 | VISION SERVICE PLAN | $2K | — | $2K | 3.03% |
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 | 371 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 11 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 392 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 370 | $277K |
| Vision | VISION SERVICE PLAN | 405 | $72K |
| Life insurance(2 contracts) | HARTFORD LIFE AND ACCIDENT | 680 | $187K |
| Long-term disability(2 contracts) | HARTFORD LIFE AND ACCIDENT | 680 | $187K |
| Stop-loss / reinsurancereinsurance | MEDICAL MUTUAL OF OHIO | 452 | $501K |
| Other(5 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 680 | $461K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 680 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.