| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ONE SOURCE ADVISORS INC3 Filed as: ONE SOURCE ADVISORS | 555 METRO PL N STE 480 DUBLIN, OH 43017 | COMMUNITY INSURANCE COMPANY | $46K | $1K | $47K | 4.19% |
| ONE SOURCE ADVISORS INC3 Filed as: ONE SOURCE ADVISORS | 555 METRO PL N STE 480 DUBLIN, OH 43017 | HARTFORD LIFE AND ACCIDENT | $8K | — | $8K | 10.24% |
| LEAVITT GROUP3 Filed as: LEAVITT GROUP AGCY | 44 W HARDING AVE CEDAR CITY, UT 84720 | HARTFORD LIFE AND ACCIDENT | — | $717 | $717 | 0.87% |
| ONE SOURCE ADVISORS INC3 Filed as: ONE SOURCE ADVISORS | 555 METRO PL N STE 480 DUBLIN, OH 43017 | VISION SERVICE PLAN | $695 | — | $695 | 7.21% |
| JASON ROSS RUBINSTEIN3 | 2076 BENTWOOD CIR APT 2B COLUMBUS, OH 43235 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $246 | — | $246 | 4.14% |
| ONE SOURCE ADVISORS INC3 | 555 METRO PLACE N DUBLIN, OH 43017 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $215 | — | $215 | 3.62% |
| INTEGRATED EMPLOYEE BENEFIT SOLUTIA3 | 99 WOOD AVE S. LSELI, NJ 08830 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $137 | — | $137 | 2.31% |
| HOWARD MESZAROS3 | 8680 COLVIN DR PLAIN CITY, OH 43064 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $69 | — | $69 | 1.16% |
| LUKE MURRAY3 | 8793 OAK VILLAGE BLVD LEWIS CENTER, OH 43035 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $46 | — | $46 | 0.77% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES LIE | 312 ELM STREET CINCINNATI, OH 45202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $26 | — | $26 | 0.44% |
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 | 85 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 85 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 87 | $1.1M |
| Vision | VISION SERVICE PLAN | 85 | $10K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 134 | $82K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 134 | $82K |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 134 | $88K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 134 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.