| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RISK STRATEGIES COMPANY5 Filed as: COMPASS RISK PARTNERS LLC | 1975 TAMARACK RD NEWARK, OH 43055 | VISION SERVICE PLAN | $2K | $0 | $2K | 1.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDICAL BENEFITS ADMINISTRATORS INC EIN 31-1249371 CONTRACT | Plan Administrator Service code 14 | PO BOX 1009 NEWARK, OH 43058 | $141K |
| OSU HEALTH PLAN EIN 31-1372469 CONTRACT | Other fees Service code 99 | 700 ACKERMAN RD, STE 1007 COLUMBUS, OH 43202 | $71K |
| COMPASS RISK PARTNERS LLC EIN 57-3004623 BROKER | Insurance agents and brokers Service code 22 | PO BOX 1009 NEWARK, OH 43058 | $30K |
| MEDICAL BENEFITS MUTUAL LIFE INS EIN 31-4210910 CONTRACT | Plan Administrator Service code 14 | PO BOX 1009 NEWARK, OH 43058 | $16K |
| HINES & ASSOCIATES, INC. EIN 36-3545085 CONTRACT | Other fees Service code 99 | 115 E. HIGHLAND AVENUE ELGIN, IL 60120 | $11K |
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 | 507 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 507 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 453 | $107K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 651 | $208K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 651 | $208K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 507 | $190K |
| Other(2 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 651 | $210K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 651 | — |
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.