| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUNTINGTON INSURANCE INC3 | 37 W BROAD STREET COLUMBUS, OH 43215 | COMMUNITY INSURANCE COMPANY | $36K | — | $36K | 3.60% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 221 S CHURCH ST BOWLING GREEN, OH 43402 | DELTA DENTAL OF OHIO | $6K | $586 | $6K | 5.22% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 37 W BROAD ST COLUMBUS, OH 43215 | SIMNSA | $5K | — | $5K | 5.00% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 37 W BROAD ST COLUMBUS, OH 43215 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 12.39% |
| HUNTINGTON INSURANCE INC3 | 121 NORTH MARKET ST STE 6 WOOSTER, OH 44691 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 28.22% |
| PETER D GRIFFEY3 | — | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 7.19% |
| ADRIENNE HOLBROOK3 | 413 LILYFIELD LN GALLOWAY, OH 43119 | CONTINENTAL AMERICAN INSURANCE COMPANY | $647 | — | $647 | 4.41% |
| MICKLEY CONSULTING LLC3 Filed as: MICKLEY CONSULTING, LLC | 1103 SCHROCK RD SUITE 201 COLUMBUS, OH 43229 | CONTINENTAL AMERICAN INSURANCE COMPANY | $638 | — | $638 | 4.35% |
| TIFFANY A TREVINO3 | 6718 BARNHURST DR SAN DIEGO, CA 92117 | CONTINENTAL AMERICAN INSURANCE COMPANY | $383 | — | $383 | 2.61% |
| EDWARD J MOORE3 | 30 B UNION AVE LAKEHURST, NJ 08733 | CONTINENTAL AMERICAN INSURANCE COMPANY | $335 | — | $335 | 2.28% |
| ROBERT R KURTZ3 | 306 BEECH HILL RD AUBURN, ME 04210 | CONTINENTAL AMERICAN INSURANCE COMPANY | $276 | — | $276 | 1.88% |
| RONALD L HUGGINS JR3 Filed as: RONALD HUGGINS JR | 5204 WOLF RUN DR COLUMBUS, OH 43230 | CONTINENTAL AMERICAN INSURANCE COMPANY | $168 | — | $168 | 1.14% |
| DOMINIQUE R OCHOA3 | 5311 VIA AQUARIO SAN DIEGO, CA 92111 | CONTINENTAL AMERICAN INSURANCE COMPANY | $130 | — | $130 | 0.89% |
| CAMERON CARRILLO3 | 5801 WESTCHESTER CT WORTHINGTON, OH 43085 | CONTINENTAL AMERICAN INSURANCE COMPANY | $90 | — | $90 | 0.61% |
| NICHOLAS MIRANDI3 | 26 MAIN ST SUITE 100 TOMS RIVER, NJ 08753 | CONTINENTAL AMERICAN INSURANCE COMPANY | $88 | — | $88 | 0.60% |
| CHRISTOPHER J BURRIS3 | 26 MAIN STREET SUITE 100 TOMS RIVER, NJ 08753 | CONTINENTAL AMERICAN INSURANCE COMPANY | $48 | — | $48 | 0.33% |
| DENNIS J CASSENS3 Filed as: DENNIS CASSENS | 3422 COLONY BAY DRIVE ROCKFORD, IL 61109 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | — | $27 | 0.18% |
| MICHAEL E MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.02% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 37 W BROAD ST COLUMBUS, OH 43215 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 37 W BROAD ST COLUMBUS, OH 43215 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 37 W BROAD ST COLUMBUS, OH 43215 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $953 | — | $953 | 10.00% |
| HUNTINGTON INSURANCE INC3 Filed as: HUNTINGTON INSURANCE, INC. | 37 W BROAD ST COLUMBUS, OH 43215 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $875 | — | $875 | 15.01% |
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 | 209 | 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) | 209 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | COMMUNITY INSURANCE COMPANY | 208 | $1.1M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF OHIO | 298 | $220K |
| Vision | COMMUNITY INSURANCE COMPANY | 208 | $992K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 209 | $10K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 188 | $27K |
| Other(5 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 209 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 298 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.