No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMERICAN BENEFIT CORPORATION EIN 55-0672859 NONE | Claims processing; Direct payment from the plan; Other fees Service code 12 | 3150 U. S. ROUTE 60 ONA, WV 25545 | $225K |
| ANTHEM HEALTH PLANS EIN 06-1475928 NONE | Direct payment from the plan; Other fees Service code 50 | 4361 IRWIN SIMPSON ROAD MASON, OH 45040 | $53K |
| HARRIS, HARDIN & COMPANY, A.C. EIN 55-0756523 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 404 NINTH STREET HUNTINGTON, WV 25701 | $15K |
| STANDARD VALUATIONS EIN 41-1329739 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | 790 CLEVELAND AVENUE, S ST. PAUL, MN 55116 | $10K |
| LEDBETTER PARISI LLC EIN 03-0599899 NONE | Legal Service code 29 | 70 RHODES CIRCLE DRIVE CENTERVILLE, OH 45458 | $7K |
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 | 127 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 142 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 269 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 0 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
No prospect flags tripped on this filing.