| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| 4MYBENEFITS, INC.3 | 4600 MCAULEY PLACE, SUITE 250 BLUE ASH, OH 45242 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $8K | $8K | 1.28% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $83 | $83 | 0.01% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | METROPOLITAN LIFE INSURANCE COMPANY | -$203 | $0 | -$203 | -0.03% |
| 4MYBENEFITS, INC.3 | 4600 MCAULEY PLACE, SUITE 250 BLUE ASH, OH 45242 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.84% |
| UNKNOWN3 | UNKNOWN DAYTON, OH 45414 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $162 | $162 | 0.19% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS, LLC | PO BOX 850502 MINNEAPOLIS, MN 55485 | METROPOLITAN LIFE INSURANCE COMPANY | $146 | $0 | $146 | 0.17% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 SOUTH GARLAND AVENUE, SUITE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | -$127 | $0 | -$127 | -0.15% |
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 | 591 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 595 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,574 | $632K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 1,032 | $64K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,574 | $632K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,574 | $632K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,574 | $632K |
| Other(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 1,574 | $718K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,574 | — |
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.