| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST | 511 FIFTH STREET DEFIANCE, OH 43512 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $7K | — | $7K | 12.01% |
| ARIS GROUP LLC3 Filed as: ARIS GROUP | — | ASSURITY LIFE INSURANCE COMPANY | $417 | — | $417 | 3.90% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE | — | ASSURITY LIFE INSURANCE COMPANY | $324 | — | $324 | 3.03% |
| TINA M THOMPSON DENNIS3 Filed as: TINA MARIE THOMPSON DENNIS | — | ASSURITY LIFE INSURANCE COMPANY | $203 | — | $203 | 1.90% |
| KRISTEN D PRESTON3 Filed as: KRISTEN DEEANNA PRESTON | — | ASSURITY LIFE INSURANCE COMPANY | $136 | — | $136 | 1.27% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INS BROKERAGE INC | PO BOX 736061 CHICAGO, IL 60673 | PRINCIPAL LIFE INSURANCE COMPANY | $640 | — | $640 | 6.96% |
| MJ INSURANCE3 Filed as: VARIOUS AGENTS | — | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $738 | — | $738 | 8.39% |
| INSGROUP INC3 Filed as: FIRST INS GROUP OF THE MIDWEST | 511 FIFTH STREET DEFIANCE, OH 43512 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $188 | — | $188 | 2.14% |
| TERRY REICHENBACH3 | P. O. BOX 178 PANDORA, OH 45877 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14 | — | $14 | 0.16% |
| WORKPLACE EMPLOYEE BNFT SVCS3 | 1240 WEST MARKET STREET, SUITE 3 LIMA, OH 45805 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $13 | — | $13 | 0.15% |
| HUFFMAN JEFFREY3 | 711 PLAZA DRIVE, SUITE 1 CHESTERTON, IA 46304 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12 | — | $12 | 0.14% |
| KESNER INS AGCY INC3 | 2522 WENDELL AVENUE LIMA, OH 45805 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.07% |
| ADVANTAGE GROUP GA LLC3 Filed as: ADVANTAGE GROUP MGA, LLC | 6338 SNIDER ROAD #350 MASON, OH 45040 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2 | — | $2 | 0.02% |
| ARIS GROUP LLC3 Filed as: ARIS GROUP, LLC | 7862 KINGLAND DRIVE WEST CHESTER, OH 45069 | TRANSAMERICA LIFE INSURANCE COMPANY | $91 | — | $91 | 6.32% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INS BROKERAGE INC | 160 FEDERAL STREET, FL 4 BOSTON, MA 02110 | TRANSAMERICA LIFE INSURANCE COMPANY | $68 | — | $68 | 4.72% |
| TINA M THOMPSON DENNIS3 Filed as: TINA THOMPSON DENNIS | 205 EDEN'S OAKS COURT SIX MILE, SC 29682 | TRANSAMERICA LIFE INSURANCE COMPANY | $36 | — | $36 | 2.50% |
| KRISTEN D PRESTON3 Filed as: KRISTEN PRESTON | 6745 COUNTY ROAD 45 ALGER, OH 45812 | TRANSAMERICA LIFE INSURANCE COMPANY | $18 | — | $18 | 1.25% |
| VBW INSURANCE SERVICES, INC3 | 2121 NEWMARKET PARKWAY, SUITE 100 MARIETTA, GA 30067 | TRANSAMERICA LIFE INSURANCE COMPANY | $9 | — | $9 | 0.62% |
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 | 126 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 180 | $9K |
| Life insurance(3 contracts, 3 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 98 | $85K |
| Short-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 79 | $61K |
| Long-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 79 | $61K |
| Other(5 contracts, 5 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 98 | $104K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 180 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.