| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SIEKMANN COMPANY3 | 9000 MEMORIAL DR PLAIN CITY, OH 43064 | UNITED HEALTHCARE INSURANCE COMPANY | $25K | $0 | $25K | 2.24% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC - COLUMBUS | 5110 N 40TH ST STE 234 PHOENIX, AZ 85018 | UNITED HEALTHCARE INSURANCE COMPANY | $6K | $0 | $6K | 0.51% |
| THE SIEKMANN COMPANY3 | 9000 MEMORIAL DR PLAIN CITY, OH 43064 | UNITED HEALTHCARE INSURANCE COMPANY | $22K | $0 | $22K | 9.35% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC - COLUMBUS | 5110 N 40TH ST STE 234 PHOENIX, AZ 85018 | UNITED HEALTHCARE INSURANCE COMPANY | $5K | $0 | $5K | 2.16% |
| THE SIEKMANN COMPANY3 | 9000 MEMORIAL DR PLAIN CITY, OH 43064 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $12K | $6K | $18K | 12.83% |
| THE SIEKMANN COMPANY3 | 9000 MEMORIAL DR PLAIN CITY, OH 43064 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $5K | $10K | 9.72% |
| THE SIEKMANN COMPANY3 | 9000 MEMORIAL DR PLAIN CITY, OH 43064 | UNITED HEALTHCARE INSURANCE COMPANY | $3K | $0 | $3K | 10.81% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC - COLUMBUS | 5110 N 40TH ST STE 234 PHOENIX, AZ 85018 | UNITED HEALTHCARE INSURANCE COMPANY | $559 | $0 | $559 | 2.16% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | — | $234K |
| THE SIEKMANN COMPANY EIN 31-0995736 BROKER | Other commissions Service code 55 | 9000 MEMORIAL DR PLAIN CITY, OH 43064 | $53K |
| ROGERS BENEFIT GROUP INC EIN 41-1596522 BROKER | Other commissions Service code 55 | 5110 N 40TH STREET STE 234 PHOENIX, AZ 850182151 | $3K |
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 | 522 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 529 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 608 | $1.1M |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 241 | $237K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 234 | $26K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 307 | $142K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 307 | $103K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 608 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 608 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.