| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | 333 W WACKER DRIVE - SUITE 1200 CHICAGO, IL 60606 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $31K | — | $31K | 14.00% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 6110 PARKLAND BLVD CLEVELAND, OH 44124 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $5K | $5K | 2.46% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | 333 W WACKER DRIVE - SUITE 1200 CHICAGO, IL 60606 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 4.00% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 6110 PARKLAND BLVD CLEVELAND, OH 44124 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $3K | $3K | 3.22% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | 333 W WACKER DRIVE - SUITE 1200 CHICAGO, IL 60606 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 6.00% |
| SELMAN & COMPANY, LLC3 | 6110 PARKLAND BLVD CLEVELAND, OH 44124 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $2K | $2K | 2.51% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 333 W WACKER DRIVE - STE 1200 CHICAGO, IL 60606 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $9K | — | $9K | 13.65% |
| RSC INSURANCE BROKERAGE INC3 | 333 W WACKER DRIVE-SUITE 1200 CHICAGO, IL 60606 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $8K | — | $8K | 13.65% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | 333 W WACKER DRIVE-STE 1200 CHICAGO, IL 60606 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $8K | — | $8K | 13.68% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE INC. | 333 W WACKER DRIVE - SUITE 1200 CHICAGO, IL 60606 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 14.00% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 6110 PARKLAND BLVD CLEVELAND, OH 44124 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $607 | $607 | 3.11% |
| RSC INSURANCE BROKERAGE INC3 | 333 W WACKER DRIVE - SUITE 1200 CHICAGO, IL 60606 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $976 | — | $976 | 6.00% |
| SELMAN & COMPANY, LLC3 Filed as: SELMAN & COMPANY LLC | 6110 PARKLAND BLVD CLEVELAND, OH 44124 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $404 | $404 | 2.48% |
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 | 852 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 862 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 410 | $55K |
| Vision(2 contracts) | EYEMED VISION CARE | 876 | $114K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 852 | $318K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 280 | $103K |
| Other(7 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,018 | $449K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,018 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.