| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MESIROW INSURANCE SERVICES INC3 | 353 NORTH CLARK STREET SUITE 1100 CHICAGO, IL 60654 | UNITEDHEALTHCARE INSURANCE COMPANY | $72K | $11K | $84K | 3.02% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 350 NORTH CLARK STREET CHICAGO, IL 60610 | RELIASTAR LIFE INSURANCE COMPANY | $14K | — | $14K | 6.01% |
| KITTE L ALLEN3 | 1518 HERON RIDGE BOULEVARD GREENWOOD, IN 46143 | AFLAC | $4K | $163 | $5K | 5.09% |
| KITTE L ALLEN3 | 678 WALNUT WOODS DRIVE GREENWOOD, IN 46142 | AFLAC | $4K | $160 | $4K | 4.28% |
| ASHLEY SHAW LLC3 | 2501 MADISON AVENUE INDIANAPOLIS, IN 46225 | AFLAC | $910 | $54 | $964 | 1.08% |
| CANDACE QUILL3 | 742 PINE LAKE DRIVE GREENWOOD, IN 46143 | AFLAC | $858 | $35 | $893 | 1.00% |
| KRISTIN SWISHER3 | 4975 LACROSS ROAD SUITE 201 NORTH CHARLESTON, SC 29406 | AFLAC | $808 | — | $808 | 0.90% |
| SVETLANA ZEITLIN3 | 105 ADDIS DRIVE CHURCHVILLE, PA 18966 | AFLAC | $789 | — | $789 | 0.88% |
| CANDACE QUILL3 | 2505 JOUST DRIVE GREENWOOD, IN 46143 | AFLAC | $673 | $33 | $706 | 0.79% |
| CHRISTIAN A. CULLINAN3 Filed as: CHRISTIAN A CULLINAN | 11501 HATTERAS STREET UNIT 5 NORTH HOLLYWOOD, CA 91601 | AFLAC | $621 | — | $621 | 0.69% |
| ASHLEY SHAW LLC3 | 2501 SOUTH MADISON AVENUE INDIANAPOLIS, IN 46225 | AFLAC | $552 | $13 | $565 | 0.63% |
| KATTE L HANNER3 | 6378 DEERSTAND ROAD GREENWOOD, IN 46143 | AFLAC | $355 | $12 | $367 | 0.41% |
| JON J SCHAEFER3 | 4900 WINSTON DRIVE INDIANAPOLIS, IN 46226 | AFLAC | $250 | — | $250 | 0.28% |
| RETTENMUND INSURANCE LLC3 | S7991 DENZER ROAD NORTH FREEDOM, WI 53951 | AFLAC | $239 | — | $239 | 0.27% |
| DAVID HERNANDEZ3 | 1160 EAST MARIPOSA AVENUE EL SEGUNDO, CA 90245 | AFLAC | $173 | — | $173 | 0.19% |
| HARDWICK INSURANCE SERVICES, LLC3 Filed as: HARDWICK INSURANCE SERVICES LLC | 7890 EAST COUNTY ROAD 1000 NORTH BROWNSBURG, IN 46112 | AFLAC | $135 | — | $135 | 0.15% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB ROAD FLOYDS KNOBS, IN 47119 | AFLAC | $134 | — | $134 | 0.15% |
| JON J SCHAEFER3 | 603 EAST WASHINGTON STREET SUITE 100 INDIANAPOLIS, IN 46204 | AFLAC | $100 | — | $100 | 0.11% |
| RICK MCPHERSON3 | 339 WEST STOP 11 ROAD INDIANAPOLIS, IN 46217 | AFLAC | $98 | — | $98 | 0.11% |
| ANDREW J JUNIKIEWICZ JR3 | 22 BROOK HOLLOW DRIVE SINKING SPRING, PA 19608 | AFLAC | $93 | — | $93 | 0.10% |
| TALHA ZAQUIR RAHMAN3 | 20336 ANZA AVENUE APARTMENT 36 TORRANCE, CA 90503 | AFLAC | $91 | — | $91 | 0.10% |
| THE SCOTT GROUP BENEFITS SPEC LLC3 | 8320 ALLISON POINTE BOULEVARD INDIANAPOLIS, IN 46250 | AFLAC | $60 | — | $60 | 0.07% |
| BRITT F PARK3 | 1971 BRIARWOOD DRIVE CAPE GIRARDEAU, MO 63701 | AFLAC | $35 | — | $35 | 0.04% |
| PAUL M MARTINDALE3 | 10255 PRETTY LAKE TRAIL PLYMOUTH, IN 46563 | AFLAC | $31 | — | $31 | 0.03% |
| MARK A WOJDA3 | 631 GREENFORD TRAIL WEST CARMEL, IN 46032 | AFLAC | $31 | — | $31 | 0.03% |
| MATTHEW A COOK3 | 10069 BENT TREE LANE FISHERS, IN 46037 | AFLAC | $30 | — | $30 | 0.03% |
| JOHN T CLANCY3 | 4025 PETE DYE BOULEVARD CARMEL, IN 46033 | AFLAC | $29 | — | $29 | 0.03% |
| AMY N GEHLHAUSEN3 | 3115 HOWARD DRIVE JASPER, IN 47546 | AFLAC | $21 | — | $21 | 0.02% |
| VINCENT M MORELLI3 | 746 5TH STREET LYNDHURST, NJ 07071 | AFLAC | $19 | — | $19 | 0.02% |
| JENNIFER ESHAGHIAN3 | 1425 CRESTVIEW COURT LOS ANGELES, CA 90024 | AFLAC | $18 | — | $18 | 0.02% |
| KRISTEN HORN3 Filed as: KRISTEN L HORN | 11037 BROADWAY SUITE C CROWN POINT, IN 46307 | AFLAC | $18 | — | $18 | 0.02% |
| CAMERON J BELL3 | 2390 CRENSHAW BOULEVARD SUITE 307 TORRANCE, CA 90501 | AFLAC | $18 | — | $18 | 0.02% |
| JOSE A SCHIENEMAN3 | 4515 SOUTH MCCLINTOCK DRIVE SUITE 212 TEMPE, AZ 85282 | AFLAC | $13 | — | $13 | 0.01% |
| KELLY MARIE TRAXLER3 | 20797 STATE ROAD 120 BRISTOL, IN 46507 | AFLAC | $12 | — | $12 | 0.01% |
| STEVEN R. JOHNSON3 Filed as: STEVEN R JOHNSON | 6167 BRISTOL PARKWAY SUITE 106 CULVER CITY, CA 90230 | AFLAC | $11 | — | $11 | 0.01% |
| ALMA MOORE3 Filed as: ALMA J MOORE | 1315 GALLAHER ROAD KINGSTON, TN 37763 | AFLAC | $9 | — | $9 | 0.01% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE COURT PLAINFIELD, IN 46168 | AFLAC | $7 | — | $7 | 0.01% |
| STEPHANIE J RITTNER3 | 109 FONTAINE COURT MONROE TOWNSHIP, NJ 08831 | AFLAC | $7 | — | $7 | 0.01% |
| MONICA WENTZ3 Filed as: MONICA G WENTZ | 2629 UPPER CANEY VALLEY ROAD TAZEWELL, TN 37879 | AFLAC | $5 | — | $5 | 0.01% |
| CAMERON BELL3 | 2390 CRENSHAW BOULEVARD SUITE 307 TORRANCE, CA 90501 | AFLAC | $4 | — | $4 | 0.00% |
| MATTHEW G BERGER3 | 22 SUNNYRIDGE ROAD PHILADELPHIA, PA 19125 | AFLAC | $4 | — | $4 | 0.00% |
| JOHN TYLER & ASSOCIATES3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $4 | — | $4 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: BRENDA K WILLIS | 801 BRIARCREST LANE DALTON, OH 44618 | AFLAC | $4 | — | $4 | 0.00% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DRIVE CARMEL, IN 46033 | AFLAC | $3 | — | $3 | 0.00% |
| ADAM H MICHAELS3 | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $3 | — | $3 | 0.00% |
| BRETT A RETTENMUND3 | S7991 DENZER ROAD NORTH FREEDOM, WI 53951 | AFLAC | $3 | — | $3 | 0.00% |
| MATTHEW T OHANLON3 | 101 WEST ELM STREET SUITE 420 CONSHOHOCKEN, PA 19428 | AFLAC | $3 | — | $3 | 0.00% |
| JENNIFER L MITCHEN3 | 9247 NORTH MERIDIAN STREET SUITE 205 INDIANAPOLIS, IN 46260 | AFLAC | $2 | — | $2 | 0.00% |
| JOSE A SCHIENEMAN3 | 4515 SOUTH MCCLINTOCK DRIVE SUITE 212 TEMPE, AZ 85282 | AFLAC | $2 | — | $2 | 0.00% |
| DAYTON LLC3 | 324 OLD WOOD DRIVE COLUMBIA, SC 29212 | AFLAC | $2 | — | $2 | 0.00% |
| BENJAMIN HUNTER3 | 18401 AVEBURY LANE WESTFIELD, IN 46062 | AFLAC | $1 | — | $1 | 0.00% |
| RYAN K GOLDBERG3 | 103 CHURCH STREET #3 PHILADELPHIA, PA 19106 | AFLAC | $1 | — | $1 | 0.00% |
| KRISTEN HORN3 Filed as: KRISTEN L HORN | 381 SUNBURST LANE GREENWOOD, IN 46143 | AFLAC | $1 | — | $1 | 0.00% |
| ANGELA MASSARELLI3 | 30 WATERFRONT WAY HAMMONTON, NJ 08037 | AFLAC | $1 | — | $1 | 0.00% |
| BENJAMIN HUNTER3 | 11193 GUY STREET FISHERS, IN 46038 | AFLAC | $1 | — | $1 | 0.00% |
| DARREN D RIDDLE3 | 7850 AVONDALE TERRACE HARRISBURG, PA 17112 | AFLAC | $1 | — | $1 | 0.00% |
| TIMOTHY B ASBY3 | 9247 NORTH MERIDIAN STREET SUITE 205 INDIANAPOLIS, IN 46260 | AFLAC | $1 | — | $1 | 0.00% |
| DOUGLAS E FOX3 | 6836 THAYER LAKE DRIVE ALDEN, MI 49612 | AFLAC | $1 | — | $1 | 0.00% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVENUE LOS ANGELES, CA 90045 | AFLAC | $1 | — | $1 | 0.00% |
| LAYNE FINANCIAL INC3 Filed as: LAYNE LEEPER | 707 ASTER COURT BOURBON, IN 46504 | AFLAC | $1 | — | $1 | 0.00% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 NORTH CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $1 | — | $1 | 0.00% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERV INC | 353 NORTH CLARK STREET CHICAGO, IL 60654 | GUIDEONE SPECIALTY MUTUAL INSURANCE COMPANY | $511 | — | $511 | 9.99% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW FINANCIAL | 353 NORTH CLARK STREET CHICAGO, IL 60654 | PAN AMERICAN LIFE INSURANCE COMPANY | $50 | — | $50 | 1.40% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVICES, INC. | 321 NORTH CLARK STREET CHICAGO, IL 60654 | GERBER LIFE INSURANCE COMPANY | $227 | — | $227 | 15.00% |
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 | 297 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 313 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 512 | $2.8M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 512 | $2.8M |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 297 | $231K |
| Short-term disability | RELIASTAR LIFE INSURANCE COMPANY | 297 | $231K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 297 | $231K |
| Other(5 contracts, 4 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 297 | $328K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 512 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.