No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDICAL MUTUAL OF OHIO EIN 34-0648820 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $157K |
| BENESYS, INC. EIN 38-2383171 THIRD PARTY ADMINISTRATOR | Contract Administrator; Other fees; Copying and duplicating Service code 13 | — | $86K |
| THE SEGAL COMPANY EIN 13-1975125 BENEFIT CONSULTANT | Consulting (general) Service code 16 | — | $47K |
| FIRST MERIT TRUST COMPANY EIN 34-0220600 INVESTMENT CONSULTANT | Investment management; Custodial (securities) Service code 19 | — | $17K |
| PLUMBERS & PIPEFITTERS 94 COMBINED EIN 27-2373591 COLLECTION FUND | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $17K |
| YURCHYK & DAVIS CPAS INC. EIN 34-1638235 AUDITOR | Accounting (including auditing) Service code 10 | — | $10K |
| MACALA & PIATT, LLC EIN 34-1933033 ATTORNEY | Legal Service code 29 | — | $8K |
| CUNI, RUST, & STRENK EIN 31-1227755 ACTUARY | Actuarial Service code 11 | — | $6K |
| AMERICAN GRAPHICS PRINTING CO. NONE | Other services Service code 49 | 34895 GROESBECK HWY 866-851-3135 CLINTON TWP, MI 48035 | $5K |
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 | 345 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 150 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 495 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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.