No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GOLDSTEIN & GRAGEL LLC EIN 26-3575398 ATTORNEY | Legal Service code 29 | — | $7K |
| PRIJATEL & ASSOCIATES EIN 34-1325019 AUDITOR | Accounting (including auditing) Service code 10 | 34950 CHARDON ROAD, 100 WILLOUGHBY, OH 44094 | $7K |
| DRS MARINO NASSIFF & ASSOC EIN 34-1030274 DENTAL PROVIDER | Other services Service code 49 | 5507 MAYFIELD ROAD LYNDHURST, OH 44124 | $0 |
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 | 256 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 7 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 263 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $19K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 198 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 198 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.