| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLEARPATH BENEFIT ADVISORS LLC3 | 300 SPRUCE STREET SUITE 250 COLUMBUS, OH 43215 | COMMUNITY INSURANCE COMPANY | $27K | $0 | $27K | 1.70% |
| THE JAMES B OSWALD COMPANY3 | 1100 SUPERIOR AVENUE SUITE 1500 CLEVELAND, OH 44114 | COMMUNITY INSURANCE COMPANY | $0 | $18K | $18K | 1.13% |
| ERC SERVICES INC3 | 387 GOLF VIEW LANE STE 100 HIGHLAND HEIGHTS, OH 44143 | COMMUNITY INSURANCE COMPANY | $1K | $0 | $1K | 0.07% |
| CLEARPATH BENEFIT ADVISORS LLC3 | 300 SPRUCE ST STE 250 COLUMBUS, OH 43215 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $12K | $2K | $14K | 13.26% |
| CLEARPATH BENEFIT ADVISORS LLC3 | 300 SPRUCE ST SUITE 250 COLUMBUS, OH 43215 | DELTA DENTAL OF OHIO | $6K | $0 | $6K | 6.06% |
| CLEARPATH BENEFIT ADVISORS LLC3 | 300 SPRUCE ST STE 250 COLUMBUS, OH 43215 | VISION SERVICE PLAN | $1K | $0 | $1K | 5.80% |
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 | 109 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 109 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 102 | $1.6M |
| Dental | DELTA DENTAL OF OHIO | 255 | $92K |
| Vision | VISION SERVICE PLAN | 115 | $18K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 109 | $103K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 109 | $103K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 109 | $103K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 109 | $103K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 255 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.