No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM NONE | Insurance services Service code 23 | P O BOX 95124 CLEVELAND, OH 44196 | $192K |
| NORTHWESTERN OHIO ADMINISTRATORS EIN 34-1337680 NONE | Contract Administrator Service code 13 | — | $140K |
| FIFTH THIRD BANK NONE | Custodial (securities); Investment management Service code 19 | 1 SOUTH MAIN STREET MD 33298K DAYTON, OH 45402 | $42K |
| SHUMAKER LOOP & KENDRICK EIN 34-4439491 NONE | Legal Service code 29 | — | $35K |
| HIGHLAND & ASSOCIATES EIN 38-3187218 NONE | Consulting (general) Service code 16 | — | $18K |
| CLARK, SCHAEFER, HACKETT & CO EIN 31-0800053 NONE | Accounting (including auditing) Service code 10 | — | $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 | 342 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 83 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 425 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 430 | $23K |
| Prescription drug | EXPRESS SCRIPTS, INC. | 78 | $194K |
| Stop-loss / reinsurancereinsurance | FIDELITY SECURITY LIFE INSURANCE CO. | 394 | $509K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 430 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 430 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.