No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDICAL MUTUAL OF OHIO EIN 34-0648820 NONE | Claims processing Service code 12 | 2060 EAST NINTH STREET CLEVELAND, OH 44115 | $134K |
| R M KOMOROWSKI JR CPA INC EIN 45-4003557 NONE | Contract Administrator Service code 13 | 626 NORTH FOURTH STREET SUITE 105 STEUBENVILLE, OH 43952 | $87K |
| COWDEN ASSOCIATES INC EIN 25-1750131 NONE | Consulting (general) Service code 16 | FOUR GATEWAY CENTER SUITE 605 PITTSBURGH, PA 15222 | $22K |
| WILSON KOZICKI & GWYNN PLLC EIN 55-0526247 NONE | Accounting (including auditing) Service code 10 | 32 TWENTIETH STREET SUITE 300 WHEELING, WV 26003 | $17K |
| MACALA & PIATT LLC EIN 34-1933033 NONE | Legal Service code 29 | 604 SOUTH MAIN STREET NORTH CANTON, OH 44720 | $16K |
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 | 292 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 118 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 410 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | MEDICAL MUTUAL OF OHIO | 400 | $215K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 400 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.