| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 | 2101 FLORENCE AVENUE CINCINNATI, OH 45206 | MEDICAL MUTUAL OF OHIO | $97K | $220 | $97K | 13.12% |
| ONE80 INTERMEDIARIES INC3 | 2101 FLORENCE AVENUE CINCINNATI, OH 45206 | MEDICAL MUTUAL OF OHIO | — | $8K | $8K | 1.05% |
| INSGROUP INC3 Filed as: FIRST INSURANCE GROUP OF THE MIDWES | 511 FIFTH STREET DEFIANCE, OH 43512 | DELTA DENTAL OF OHIO | $6K | — | $6K | 1.26% |
| INSGROUP INC3 Filed as: FIRST INSURANCE GROUP OF THE MIDWES | OF THE MIDWEST, INC. DEFIANCE, OH 43512 | DELTA DENTAL OF OHIO | $6K | — | $6K | 1.19% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | PO BOX 736061 CHICAGO, IL 60673 | DELTA DENTAL OF OHIO | $1K | — | $1K | 0.25% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE,INC. | PO BOX 818078 CLEVELAND, OH 44181 | DELTA DENTAL OF OHIO | $1K | — | $1K | 0.24% |
| RSC INSURANCE BROKERAGE INC3 | 511 FIFTH STREET DEFIANCE, OH 43512 | HARTFORD LIFE AND ACCIDENT | $40K | — | $40K | 13.97% |
| SELMAN & COMPANY, LLC3 | ONE INTEGRITY PARKWAY CLEVELAND, OH 44143 | HARTFORD LIFE AND ACCIDENT | — | $12K | $12K | 4.32% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET 4TH FLOOR BOSTON, MA 02110 | HARTFORD LIFE AND ACCIDENT | — | $3K | $3K | 1.12% |
| RSC INSURANCE BROKERAGE INC3 | 511 5TH STREET DEFIANCE, OH 43512 | VISION SERVICE PLAN | $3K | — | $3K | 2.44% |
| ALKEME INSURANCE SERVICES INC3 | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10K | — | $10K | 14.32% |
| SHAWN J KEELER3 | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 3.09% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 650 EAST CARMEL DRIVE SUITE 400 CARMEL, IN 46032 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $475 | — | $475 | 0.69% |
| GARY MOSELEY3 Filed as: GARY L MOSELEY | 1760 TOWNSHIP ROAD 55 BELLEFONTAINE, OH 43311 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $122 | — | $122 | 0.18% |
| NICOLE MOSELEY3 | 3700 SHAGBARK TRAIL GALENA, OH 43021 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $101 | — | $101 | 0.15% |
| JOSEPH E TROIANO3 | 2854 LYTLE ROAD CENTERBURG, OH 43011 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $89 | — | $89 | 0.13% |
| DENNIS GAYLE3 | 1760 TOWNSHIP ROAD 55 BELLEFONTAINE, OH 43311 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $82 | — | $82 | 0.12% |
| SHAWN L MOSELEY3 | 3700 SHAGBARK TRAIL GALENA, OH 43021 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $17 | — | $17 | 0.02% |
| ALKEME INSURANCE SERVICES INC3 | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5K | — | $5K | 17.66% |
| SHAWN J KEELER3 | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 4.82% |
| ALKEME INSURANCE SERVICES INC3 | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 16.37% |
| SHAWN J KEELER3 | 211 SOUTH 23RD STREET PLATTMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $241 | — | $241 | 3.88% |
| ALKEME INSURANCE SERVICES INC3 | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 22.13% |
| SHAWN J KEELER3 | 211 SOUTH 23RD STREET PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $56 | — | $56 | 1.14% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | 650 EAST CARMEL DRIVE SUITE 400 CARMEL, IN 46032 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $18 | — | $18 | 0.37% |
| GARY MOSELEY3 Filed as: GARY L MOSELEY | 1760 TOWNSHIP ROAD 55 BELLEFONTAINE, OH 43311 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $5 | — | $5 | 0.10% |
| NICOLE MOSELEY3 | 3700 SHAGBARK TRAIL GALENA, OH 43021 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4 | — | $4 | 0.08% |
| DENNIS GAYLE3 | 1760 TOWNSHIP ROAD 55 BELLEFONTAINE, OH 43311 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.06% |
| JOSEPH E TROIANO3 | 2854 LYTLE ROAD CENTERBURG, OH 43011 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.06% |
| SHAWN L MOSELEY3 | 3700 SHAGBARK TRAIL GALENA, OH 43021 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.02% |
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 | 929 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 21 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 956 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 1,075 | $471K |
| Vision | VISION SERVICE PLAN | 476 | $115K |
| Life insurance(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 735 | $294K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 735 | $289K |
| Stop-loss / reinsurancereinsurance | MEDICAL MUTUAL OF OHIO | 538 | $740K |
| Other(6 contracts, 3 carriers) | HARTFORD LIFE AND ACCIDENT | 857 | $413K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,075 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.