| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY4 | 1300 EAST NINTH STREET, SUITE 1900 CLEVELAND, OH 44114 | THE UNION LABOR LIFE INSURANCE COMPANY | $7K | — | $7K | 1.47% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS EIN 38-2383171 NONE | Contract Administrator Service code 13 | — | $302K |
| SEGAL SELECT INSURANCE SERVICES INC EIN 46-0619194 NONE | Insurance services Service code 23 | — | $113K |
| ALLOTTA, FARLEY CO., LPA EIN 34-1316963 NONE | Legal Service code 29 | — | $27K |
| MERCER HUMAN RESOURCES CONSULTING EIN 36-2668272 NONE | Investment advisory (plan) Service code 27 | — | $19K |
| IMPACT SOLUTIONS NONE | Other services Service code 49 | 23240 CHAGRIN BLVD. CLEVELAND, OH 44122 | $17K |
| WELLINGTON TRUST EIN 04-6657591 NONE | Investment advisory (plan) Service code 27 | — | $17K |
| SMW LOCAL 33 FRINGE BENEFIT FUND EIN 34-1398805 NONE | Plan Administrator Service code 14 | — | $16K |
| BEHAVIOR MANAGEMENT EIN 34-1577568 NONE | Contract Administrator Service code 13 | — | $15K |
| CLARK, SCHAEFER, HACKETT & CO. EIN 31-0800053 NONE | Accounting (including auditing) Service code 10 | — | $13K |
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 | 617 | Currently employed and enrolled or eligible. |
| Retired/separated still eligible | 206 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 823 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 821 | $151K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 671 | $476K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 821 | $151K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 821 | — |
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.