| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC. | 3755 E 82ND STREET SUITE 100 INDIANAPOLIS, IN 46240 | AMERICAN UNITED LIFE INSURANCE COMPANY | — | $8K | $8K | 1.35% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC. | 9400 PRIORITY WAY WEST DRIVE INDIANAPOLIS, IN 46240 | TOKIO MARINE | $31K | — | $31K | 9.10% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC | 9400 PRIORITY WAY WEST DRIVE INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES | $6K | — | $6K | 7.04% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC. | 3755 E. 82ND STREET SUITE 100 INDIANAPOLIS, IN 46240 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $12K | — | $12K | 14.41% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MID-ATLANTIC INC. | 9713 KEY WEST AVENUE SUITE 401 ROCKVILLE, MD 20874 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.60% |
| PLANSOURCE BENEFIT ADMINISTRATION3 | PO BOX 1313 ORLANDO, FL 32802 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $808 | — | $808 | 0.98% |
| GIBSON INSURANCE AGENCY, INC.3 Filed as: GIBSON INSURANCE AGENCY INC | 202 S. MICHIGAN STREET SUITE 1400 SOUTH BEND, IN 46601 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $543 | — | $543 | 0.66% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC. | 3755 E 82ND STREET SUITE 100 INDIANAPOLIS, IN 46240 | UNUM LIFE INSURANCE OF AMERICA | $9K | — | $9K | 15.03% |
| PLANSOURCE BENEFIT ADMINISTRATION3 Filed as: PLANSOURCE BENEFIT | PO BOX 1313 ORLANDO, FL 32802 | UNUM LIFE INSURANCE OF AMERICA | $581 | — | $581 | 1.00% |
| GIBSON INSURANCE AGENCY, INC.3 Filed as: GIBSON INSURANCE AGENCY | 202 S MICHIGAN STREET SUITE 1400 SOUTH BEND, IN 46601 | UNUM LIFE INSURANCE OF AMERICA | $293 | — | $293 | 0.50% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL MID-ATLANTIC, INC | 9713 KEY WEST AVENUE SUITE 401 ROCKVILLE, MD 20874 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $50 | — | $50 | 1.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR INSURANCE COMPANIES EIN 39-1995276 CLAIMS PROCESSOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance agents and brokers; Other services; Claims processing; Other fees; Contract Administrator; Float revenue Service code 12 | — | $535K |
| COORDINATED CARE PROGRAMS LLC QUANTUM HEALTH, INC. | Direct payment from the plan; Other fees Service code 50 | 44 W 28TH STREET NEW YORK, NY 10001 | $313K |
| TRUE RX EIN 26-0502364 THIRD PARTY ADMIN | Direct payment from the plan; Other fees; Claims processing Service code 12 | — | $181K |
| BENEFIT TECHNOLOGY RESOURCES, LLC COMPUTER SERVICE | Other services; Direct payment from the plan Service code 49 | 1700 N BROADWAY AVENUE SUITE 116 ROCHESTER, MN 55901 | $78K |
| DELTA DENTAL PLAN OF INDIANA EIN 35-1545647 BENEFIT ADMINISTRATOR | Other fees; Direct payment from the plan Service code 50 | — | $32K |
| FMLA SOURCE PLAN ADMIN FEES | Contract Administrator; Direct payment from the plan Service code 13 | 455 N. CITYFRONT PLAZA DRIVE 13TH FLOOR CHICAGO, IL 606115322 | $18K |
| RX HELP CENTER, LLC EIN 46-2125122 COST EFFECTIVE CARE | Other fees; Direct payment from the plan Service code 50 | — | $9K |
| BASIC EIN 38-2883561 COBRA ADMIN FEES | Direct payment from the plan; Contract Administrator Service code 13 | — | $9K |
| PLAN SOURCE EIN 55-0800751 PLAN ADMIN FEES | Direct payment from the plan; Plan Administrator Service code 14 | — | $7K |
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 | 1,521 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,523 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | ANTHEM INSURANCE COMPANIES | 776 | $85K |
| Life insurance(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,465 | $686K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 244 | $82K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,465 | $604K |
| Stop-loss / reinsurancereinsurance | TOKIO MARINE | 833 | $344K |
| Other(3 contracts, 3 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,465 | $666K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,465 | — |
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.