| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUNTINGTON INSURANCE INC3 | 221 CHURCH ST BOWLING GREEN, OH 43402 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | $7K | $11K | 12.56% |
| HUNTINGTON INSURANCE INC3 | 440 POLARIS PKWY WESTERVILLE, OH 43082 | AMERICAN UNITED LIFE INSURANCE COMPANY | $7K | $756 | $8K | 11.05% |
| HUNTINGTON INSURANCE INC3 | 121 NORTH MARKET ST SUITE 6 ATTN LORI EISEL WOOSTER, OH 44691 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | — | $7K | 10.98% |
| KATHERINE ROSE LANG3 Filed as: KATHERINE R LANG | 6505 ROCKSIDE RD #125 INDEPENDENCE, OH 44131 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 5.21% |
| TERRI L CAMPBELL3 | 1133 MEDINA RD MEDINA, OH 44256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $543 | — | $543 | 0.80% |
| JOHN D SUSIE3 | 8682 HAWICK CT N DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $448 | — | $448 | 0.66% |
| A C LONG & ASSOCIATES INC3 Filed as: A. C. LONG ASSOCIATES, INC. | 1113 MEDINA RD SUITE 500 MEDINA, OH 44256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $314 | — | $314 | 0.46% |
| SHAWN HEITNER3 | 1113 MEDINA RD SUITE 500 MEDINA, OH 44256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $119 | — | $119 | 0.18% |
| THERESA L GOIK3 | 1816 NIGHTHAWK WAY PHOENIX, AZ 85045 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | — | $27 | 0.04% |
| RICHARD J LINDEMEYER3 | 133 MEDINA RD MEDINA, OH 44256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | — | $23 | 0.03% |
| HUNTINGTON INSURANCE INC3 | 221 S CHURCH ST BOWLING GREEN, OH 43402 | EYEMED | $2K | — | $2K | 9.76% |
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 | 166 | 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) | 166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 293 | $90K |
| Vision(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 293 | $112K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 293 | $162K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 65 | $72K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 65 | $72K |
| Other(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 220 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 293 | — |
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.