BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

Third Street Community Clinic, Inc.

Healthcare & social assistance · Mansfield, Ohio · EIN ending 3919

Updated Filing received by DOL

Third Street Community Clinic, Inc., a healthcare & social assistance employer in Mansfield, Ohio, reported 201 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows $90,566 in insurance premiums across 3 contracts and $42,270 in broker commissions and fees. The plan is self-funded (the employer pays claims itself). The Department of Labor received the filing on January 12, 2026, within the extension window.

Participants
201
+59.5% vs 2023
Premiums filed
$90,566
3 contracts
Broker commissions + fees
$42,270
4 brokers
Commission rate
n/a
needs insured medical premium

Who was paid on Third Street Community Clinic, Inc.'s plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Third Street Community Clinic, Inc. filed for 2024.

Broker or agentCommissionsFeesTotalContracts
E S Beveridge and Associates · Mansfield, OH$29,600$0$29,6003
Aspire Benefits LLC · Powell, OH$0$8,107$8,1071
The HDH Group Inc · Dublin, OH$4,583$0$4,5832
McGohan Brabender Agency Inc · Dayton, OH$0$0$01

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Delta Dental of Ohiodental342$90,566$4,2204.7%
Vision Service Planvision136—$1,171—
Hartford Life and Accidentlife, short-term disability, long-term disability201—$36,879—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Third Street Community Clinic, Inc. compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Third Street Community Clinic, Inc.
$42,270
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$0$90,566Premiums$0$42,270Broker pay20232024
Third Street Community Clinic, Inc.: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants126201+59.5%
Premiums filed$0$90,566—
Broker commissions + fees$0$42,270—
Commission rate———

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Third Street Community Clinic Welfare Benefit Plan#501 · insurance, general assetsMarch 31, 2025January 12, 2026within extension201

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Third Street Community Clinic, Inc. pay in health insurance broker commissions in 2024?

Third Street Community Clinic, Inc.'s 2024 Form 5500 reports $42,270 in broker commissions and fees across 3 insurance contracts ($34,163 in commissions, $8,107 in fees), with E S Beveridge and Associates receiving the largest share.

Is Third Street Community Clinic, Inc.'s health plan self-funded or fully insured?

The 2024 filing indicates the plan is self-funded (the employer pays claims itself).

How does Third Street Community Clinic, Inc.'s broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Third Street Community Clinic, Inc. because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 200-499 participants that disclosed broker pay reported a median of $77,013.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.