| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY | 101 NORTH WACKER DRIVE, SUITE 500 CHICAGO, IL 60606 | THE UNION LABOR LIFE INSURANCE COMPANY | $5K | — | $5K | 1.52% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THE SEGAL GROUP EIN 13-1975125 BENEFIT CONSULTANT | Consulting (general) Service code 16 | 1300 EAST NINTH STREET SUITE 1900 CLEVELAND, OH 44114 | $62K |
| BENESYS EIN 38-2383171 THIRD PARTY ADMINISTRATOR | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | 33 FITCH BLVD AUSTINTOWN, OH 44515 | $59K |
| SHEET METAL WORKERS LOCAL 33 CCA EIN 34-1296006 COLLECTION FUND | Recordkeeping fees Service code 64 | 33 FITCH BLVD AUSTINTOWN, OH 44515 | $8K |
| HILL, BARTH & KING LLC EIN 34-1897225 AUDITOR | Accounting (including auditing) Service code 10 | 6603 SUMMIT DRIVE CANFIELD, OH 44406 | $8K |
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 | 229 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 21 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 361 | $76K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 245 | $298K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 361 | — |
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.