| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUNTINGTON INSURANCE INC3 | 37 WEST BROAD - 7TH FLOOR COLUMBUS, OH 43215 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | $892 | $6K | 6.00% |
| HUNTINGTON INSURANCE INC3 | 440 POLARIS PKWY WESTERVILLE, OH 43082 | AMERICAN UNITED LIFE INSURANCE COMPANY | $7K | — | $7K | 10.00% |
| HUNTINGTON INSURANCE INC3 | 121 NORTH MARKET ST SUITE 6 ATTN LORI EISEL WOOSTER, OH 44691 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | — | $6K | 11.06% |
| KATHERINE ROSE LANG3 Filed as: KATHERINE R LANG | 6505 ROCKSIDE RD #125 INDEPENDENCE, OH 44131 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 5.33% |
| TERRI L CAMPBELL3 | 1133 MEDINA RD MEDINA, OH 44256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $468 | — | $468 | 0.83% |
| JOHN D SUSIE3 | 8682 HAWICK CT N DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $379 | — | $379 | 0.67% |
| A C LONG & ASSOCIATES INC3 Filed as: A. C. LONG & ASSOCIATES, INC. | 1113 MEDINA RD SUITE 500 MEDINA, OH 44256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $264 | — | $264 | 0.47% |
| SHAWN HEITNER3 | 1113 MEDINA RD SUITE 500 MEDINA, OH 44256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $56 | — | $56 | 0.10% |
| THERESA L GOIK3 | 1816 NIGHTHAWK WAY PHOENIX, AZ 85045 | CONTINENTAL AMERICAN INSURANCE COMPANY | $29 | — | $29 | 0.05% |
| HUNTINGTON INSURANCE INC3 | 221 S CHURCH ST BOWLING GREEN, OH 43402 | EYEMED | $2K | — | $2K | 9.40% |
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 | 161 | 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) | 161 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 292 | $92K |
| Vision | EYEMED | 249 | $20K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 292 | $92K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 58 | $65K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 58 | $65K |
| Other(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 220 | $122K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 292 | — |
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.