No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWESTERN OHIO ADMINISTRATORS EIN 34-1337680 NONE | Contract Administrator Service code 13 | 7142 NIGHTINGALE DR SUITE 1 HOLLAND, OH 43528 | $140K |
| ANTHEM NONE | Insurance services Service code 23 | P O BOX 95124 CLEVELAND, OH 44196 | $106K |
| SHUMAKER LOOP & KENDRICK EIN 34-4439491 NONE | Legal Service code 29 | NORTH COURTHOUSE SQ 1000 JACKSON TOLEDO, OH 43604 | $27K |
| FIFTH THIRD BANK NONE | Custodial (securities); Investment management Service code 19 | 1 SOUTH MAIN STREET MD 33298K DAYTON, OH 45402 | $21K |
| LUBLIN SUSSMAN GROUP. LLP EIN 34-1087273 NONE | Accounting (including auditing) Service code 10 | 3166 N REPUBLIC BLVD TOLEDO, OH 43615 | $12K |
| MILLIMAN EIN 91-0675641 NONE | Actuarial Service code 11 | 111 MONUMENT CIRCLE SUITE 601 INDIANAPOLIS, IN 462045128 | $8K |
| MEDICAL MUTUAL EIN 34-0648820 NONE | Insurance services Service code 23 | P O BOX 951920 CLEVELAND, OH 44193 | $7K |
| KEYBANK NATIONAL ASSOCIATION EIN 34-4376444 NONE | Shareholder servicing fees Service code 59 | P O BOX 5937 CLEVELAND, OH 441010937 | $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 | 265 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 80 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 345 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 0 | $20K |
| Stop-loss / reinsurancereinsurance | FIDELITY SECURITY LIFE INSURANCE CO. | 304 | $334K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 0 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 304 | — |
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.