| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS AGENCY, INC. | 1650 N COUNTY LINE STREET SUITE 200 FOSTORIA, OH 44830 | MEDICAL MUTUAL OF OHIO | $78K | $6K | $84K | 17.34% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFIT AGENCY, INC | 220 PERRY STREET FOSTORIA, OH 44830 | DELTA DENTAL OF OHIO | $9K | — | $9K | 3.00% |
| HYLANT GROUP INC3 | 811 MADISON AVENUE 8TH FLOOR TOLEDO, OH 43604 | HARTFORD LIFE AND ACCIDENT | $23K | — | $23K | 15.08% |
| HYLANT GROUP INC3 | ATTN ACCOUNTING PO BOX 1687 TOLEOD, OH 436031687 | HARTFORD LIFE AND ACCIDENT | — | $6K | $6K | 4.09% |
| SHAWN J KEELER3 | 2209 1ST AVENUE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $12K | — | $12K | 11.40% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 40948 INDIANAPOLIS, IN 46072 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $2K | — | $2K | 2.17% |
| KELLER & ASSOCIATES3 | 2209 1ST AVENUE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $757 | — | $757 | 0.75% |
| NICOLE MOSELEY3 | 3700 SHAGBARK TRAIL GALENA, OH 43021 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $458 | — | $458 | 0.45% |
| JOSEPH E TROIANO3 | 2854 LYTLE ROAD CENTERBURG, OH 430111114 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $416 | — | $416 | 0.41% |
| JESSICA GORDON3 | 2955 SYCAMORE LANE BLOOMSBURG, PA 178153227 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $416 | — | $416 | 0.41% |
| GAYLE A. DENNIS3 Filed as: GAYLE DENNIS | 142 PAINE STREET DELAWARE, OH 43015 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $377 | — | $377 | 0.37% |
| GARY MOSELEY3 Filed as: GARY L MOSELEY | 7415 PORT ROYALE AVENUE RUSSELLS P O NT, OH 43348 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $133 | — | $133 | 0.13% |
| SHAWN L MOSELEY3 | 3700 SHAGBARK TRAIL GALENA, OH 43021 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $66 | — | $66 | 0.07% |
| JACK L SHORT3 | 176 PATTI DRIVE WESTERVILLE, OH 43081 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $53 | — | $53 | 0.05% |
| SHAWN J KEELER3 | 2209 1ST AVENUE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $9K | — | $9K | 8.80% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | PO BOX 40948 INDIANAPOLIS, IN 46072 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $767 | — | $767 | 0.77% |
| KEELER & ASSOCIATES3 | 2209 1ST AVENUE PLATTSMOUTH, NE 40544 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $406 | — | $406 | 0.41% |
| NICOLE MOSELEY3 | 3700 SHAGBARK TRAIL GALENA, OH 43021 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $149 | — | $149 | 0.15% |
| JOSEPH E TROIANO3 | 2854 LYTLE ROAD CENTERBURG, OH 430111144 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $130 | — | $130 | 0.13% |
| JESSICA GORDON3 | 2955 SYCAMORE LANE BLOOMSBURG, PA 178153227 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $129 | — | $129 | 0.13% |
| GAYLE A. DENNIS3 Filed as: GAYLE DENNIS | 142 PAINE STREET DELAWARE, OH 43015 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $115 | — | $115 | 0.12% |
| JACK L SHORT3 | 176 PATTI DRIVE WESTERVILLE, OH 43081 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $79 | — | $79 | 0.08% |
| GARY MOSELEY3 Filed as: GARY L MOSELEY | 7415 PORT ROYALE AVENUE RUSSELLS POINT, OH 43348 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $57 | — | $57 | 0.06% |
| SHAWN L MOSELEY3 | 3700 SHAGBARNK TRAIL GALENA, OH 43021 | AMERICAN HERITAGE LIFE INSURANCE COMPANY - ALLSTATE | $29 | — | $29 | 0.03% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS INC. | PO BOX 906 FOSTORIA, OH 448300906 | VISION SERVICE PLAN | $2K | — | $2K | 2.99% |
| CORPORATE ONE BENEFITS3 Filed as: CORPORATE ONE BENEFITS AGENCY, INC. | 1650 N COUNTY LINE STREET SUITE 200 FOSTORIA, OH 44830 | BRAVO WELLNESS LLC | — | $5K | $5K | 11.17% |
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 | 498 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 26 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 528 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 914 | $301K |
| Vision | VISION SERVICE PLAN | 413 | $74K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 702 | $153K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 702 | $153K |
| Stop-loss / reinsurancereinsurance | MEDICAL MUTUAL OF OHIO | 466 | $487K |
| Other(4 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 702 | $402K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 914 | — |
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.