| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE MIDWEST | 600 EAST 96TH STREET SUITE 400 INDIANAPOLOIS, IN 46240 | DELTA DENTAL OF OHIO | $7K | — | $7K | 7.76% |
| THE HORTON GROUP3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | DELTA DENTAL OF OHIO | $1K | — | $1K | 1.24% |
| ENTRUST AGENCIES INC3 Filed as: ENTRUST AGENCIES LLC | 22322 GRAND CORNER DRIVE STE-200 KATY, TX 77494 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $1K | $3K | 9.00% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS | 600 E. 96TH STREET SUITE 400 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 8.67% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 6.33% |
| ENTRUST AGENCIES INC3 Filed as: ENTRUST AGENCIES LLC | 22322 GRAND CORNER DRIVE STE-200 KATY, TX 77494 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $1K | $3K | 9.00% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS | 600 E. 96TH STREET SUITE 400 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 8.70% |
| THE HORTON GROUP3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 6.30% |
| ENTRUST AGENCIES INC3 Filed as: ENTRUST AGENCIES LLC | 22322 GRAND CORNER DRIVE STE-200 KATY, TX 77494 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $1K | $3K | 9.00% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS, INC | 600 E. 96TH STREET SUITE 400 INDIANAPOLIS, IA 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 8.64% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC | 10320 ORLAND PARKWAY ORLANK PARK, IL 60467 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 6.36% |
| ONI RISK PARTNERS INC3 Filed as: ONI INSURANCE GROUP | 600 E. 96TH STREET STE 400 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| ENTRUST AGENCIES INC3 Filed as: ENTRUST AGENCIES LLC | 22322 GRAND CORNER DRIVE STE-200 KATY, TX 77494 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $540 | $432 | $972 | 9.00% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS, INC | 600 E 96TH STREET SUITE 400 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $937 | — | $937 | 8.68% |
| THE HORTON GROUP3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $683 | — | $683 | 6.32% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS | 600 E. 96TH STREET SUITE 400 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 11.65% |
| ENTRUST AGENCIES INC3 Filed as: ENTRUST AGENCIES LLC | 22322 GRAND CORNER DRIVE STE-200 KATY, TX 77494 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $457 | $366 | $823 | 9.00% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP, INC | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $763 | — | $763 | 8.35% |
| ENTRUST AGENCIES INC3 Filed as: ENTRUST AGENCIES | 22322 GRAND CORNER DRIVE STE-200 KATY, TX 77494 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $112 | $89 | $201 | 9.02% |
No Schedule C service providers reported on this filing.
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 | 174 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF OHIO | 303 | $92K |
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 290 | $15K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 174 | $44K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 174 | $36K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 174 | $34K |
| Other(3 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 174 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 303 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.