| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 210 SIXTH AVE 30TH FL PITTSBURGH, PA 15222 | COMMUNITY INSURANCE COMPANY | $1.4M | $29K | $1.4M | 102.12% |
| SHAWAN MARQUIS AGENCY INC3 | 110 EAST WILSON BRIDGE RD STE 260 COLUMBUS, OH 43085 | COMMUNITY INSURANCE COMPANY | $1.4M | $6K | $1.4M | 100.43% |
| PREFERRED BENEFITS SERVICES AGENCY3 | 1201 U.S. RTE 23N DELAWARE, OH 43015 | COMMUNITY INSURANCE COMPANY | $1.4M | $3K | $1.4M | 100.19% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SERVICE | PO BOX 4047 CONCORD, CA 94524 | COMMUNITY INSURANCE COMPANY | $1.4M | $2K | $1.4M | 100.11% |
| ASSUREDPARTNERS3 Filed as: THE HDH GROUP INC | 210 SIXTH AVE 30TH FL PITTSBURGH, PA 15222 | ANTHEM LIFE INSURANCE COMPANY | $152K | $15K | $167K | 109.92% |
| PREFERRED BENEFITS SERVICES AGENCY3 | 1201 U.S. RTE 23N DELAWARE, OH 43015 | ANTHEM LIFE INSURANCE COMPANY | $152K | $4K | $156K | 102.61% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SERVICE | P.O. BOX 4047 CONCORD, CA 94524 | ANTHEM LIFE INSURANCE COMPANY | $152K | $4K | $155K | 102.38% |
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 | 311 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 311 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 272 | $1.4M |
| Dental | COMMUNITY INSURANCE COMPANY | 272 | $1.4M |
| Vision | COMMUNITY INSURANCE COMPANY | 272 | $1.4M |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 311 | $152K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 311 | $152K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 311 | $152K |
| Prescription drug | COMMUNITY INSURANCE COMPANY | 272 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 311 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.