| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY Filed as: SEGAL CO MIDWEST INC | 7701 FRANCE AVE S STE 225 EDINA, MN 55435 | HUMANA INSURANCE COMPANY | $22K | — | $22K | 7.30% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HUMANA INSURANCE COMPANY CLAIMS PROCESSOR | Claims processing Service code 12 | 101 E. MAIN ST. LOUISVILLE, KY 40202 | $306K |
| MEDICAL MUTUAL OF OHIO CLAIMS PROCESSOR | Claims processing Service code 12 | 100 AMERICAN RD BROOKLYN, OH 44144 | $211K |
| BENESYS, INC. THIRD PARTY ADMINISTRATOR | Participant communication; Copying and duplicating; Contract Administrator; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | 3660 STUTZ DRIVE, STE 101 CANFIELD, OH 44406 | $146K |
| PNC BANK, NATIONAL ASSOCIATION CUSTODIAN | Trustee (bank, trust company, or similar financial institution); Custodial (securities) Service code 19 | 300 FIFTH AVE PITTSBURGH, PA 15222 | $85K |
| THE SEGAL COMPANY BENEFIT CONSULTANT | Consulting (general) Service code 16 | 1111 SUPERIOR AVENUE CLEVELAND, OH 44114 | $43K |
| PLUMBERS LOCAL 396 COMBINED FUNDS COLLECTION FUND | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 3660 STUTZ DRIVE, STE 101 CANFIELD, OH 44406 | $31K |
| FAULKNER, HOFFMAN & PHILLIPS ATTORNEY | Legal Service code 29 | 20445 EMERALD PKWY 210 CLEVELAND, OH 44101 | $21K |
| YURCHYK & DAVIS CPA'S, INC EIN 34-1638235 AUDITOR | Accounting (including auditing) Service code 10 | — | $9K |
| CITY PRINTING PRINTING SERVICES | Copying and duplicating Service code 36 | 122 OAK HILL AVE YOUNGSTOWN, OH 44502 | $6K |
| PARSONS RISK STRATEGIES, LLC ACTUARY | Actuarial Service code 11 | 347 TIMBERLANE DRIVE AVON LAKE, OH 44012 | $6K |
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 | 400 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 164 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 564 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEDICAL MUTUAL OF OHIO | 452 | $213K |
| Prescription drug | MEDICAL MUTUAL OF OHIO | 452 | $213K |
| Stop-loss / reinsurancereinsurance | BERKSHIRE HATHAWAY SPECIALTY INSURANCE | 564 | $423K |
| Other | HUMANA INSURANCE COMPANY | 195 | $306K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 564 | — |
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."
No prospect flags tripped on this filing.