Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The filing reports zero broker compensation on a plan over 100 participants. The plan likely buys direct or does not report its broker. Give it a call.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Stop-loss | Stop-loss | |
Life | Life |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 2 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 556 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 64 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 313 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 933 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 581 | $58K |
| Stop-loss / reinsurancereinsurance | MEDICAL MUTUAL OF OHIO | 557 | $504K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 581 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDICAL MUTUAL OF OHIO EIN 34-0648820 NONE | Direct payment from the plan; Claims processing Service code 12 | P.O. BOX 951916 CLEVELAND, OH 44193 | $251K |
| THE JAMES B OSWALD COMPANY EIN 34-0445620 NONE | Direct payment from the plan; Consulting (general) Service code 16 | 1100 SUPERIOR AVE CLEVELAND, OH 44114 | $82K |
| LAUREL NIELSEN EIN 62-1523674 EMPLOYEE OF PLAN SPONSOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Employee (plan) Service code 15 | — | $36K |
| FAULKNER, HOFFMAN AND PHILLIPS EIN 45-1540483 NONE | Legal; Direct payment from the plan Service code 29 | 20445 EMERALD PKWY 210 CLEVELAND, OH 44135 | $34K |
| ERICA KAWCZYNSKI EIN 62-1523674 EMPLOYEE OF PLAN SPONSOR | Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $33K |
| DGPERRY, PLLC EIN 83-3033790 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 3711 STARRS CENTRE DRIVE CANFIELD, OH 44406 | $32K |
| DENNIS RAHE EIN 62-1523674 EMPLOYEE OF PLAN SPONSOR | Direct payment from the plan; Employee (plan); Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $31K |
| BENESYS EIN 38-2383171 NONE | Direct payment from the plan; Recordkeeping fees Service code 50 | 700 TOWER DRIVE SUITE 200 TROY, MI 48098 | $28K |
| HORIZON ACTUARIAL SERVICES, LLC EIN 26-1370698 NONE | Actuarial; Direct payment from the plan Service code 11 | 8601 GEORGIA AVE, STE 700 SILVER SPRINGS, MD 20910 | $14K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Investment management fees paid directly by plan Service code 27 | 1300 EAST NINTH ST CLEVELAND, OH 441141593 | $14K |
| BRICKLAYERS ALLIED CRAFTWORKERS NONE | Other fees; Direct payment from the plan Service code 50 | 9525 SWEET VALLEY DR VALLEY VIEW, OH 44125 | $10K |
| FIFTH THIRD EIN 31-1051736 NONE | Investment management; Custodial (securities); Investment management fees paid indirectly by plan Service code 19 | 1 SOUTH MAIN STREET DAYTON, OH 45403 | $8K |
| THE UNION LABOR LIFE INSURANCE EIN 13-1423090 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | 1625 EYE STREET N.W. WASHINGTON, DC 20006 | $5K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
3 contacts
Phone and email for the actuary are on Pro.
10 filings · 2016 to 2025