| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TURNKEY BENEFIT INSURANCE SERVICES3 Filed as: TURNKEY BENEFIT INS SVCS INC | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | KAISER FOUNDATION HEALTH PLAN INC | $7K | — | $7K | 5.38% |
| WORLDWIDE INSURANCE AGENCY, INC.3 Filed as: WORLDWIDE INSURANCE AGENCY INC | 6744 BRAMWELL CT JOHNSTON, IA 50131 | UNITED HEALTHCARE INSURANCE COMPANY | — | $9K | $9K | 12.92% |
| TURNKEY BENEFIT INSURANCE SERVICES3 Filed as: TURNKEY BENEFIT INS SVCS INC | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $4K | — | $4K | 8.51% |
| TURNKEY BENEFIT INSURANCE SERVICES3 Filed as: TURNKEY BENEFIT INS SVCS INC | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $3K | — | $3K | 8.28% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KEY BENEFIT ADMINISTRATORS, INC EIN 35-1450364 NONE | Contract Administrator Service code 13 | — | $231K |
| HEALTHY ALLIANCE LIFE INSURANCE EIN 86-0257201 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Float revenue; Claims processing; Other services Service code 12 | — | $145K |
| CIGNA PPO EIN 84-0467907 NONE | Contract Administrator Service code 13 | — | $102K |
| VENTEGRA INC EIN 38-8371304 NONE | Contract Administrator Service code 13 | — | $55K |
| AMERICAN HEALTH DATA INSTITUTE EIN 35-2048379 NONE | Contract Administrator Service code 13 | — | $49K |
| CAREINGTON INTERNATIONAL CORP EIN 75-2425662 NONE | Contract Administrator Service code 13 | — | $6K |
| INGENIORX INC EIN 82-3062245 | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | — | $0 |
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 | 736 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 740 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 22 | $193K |
| Vision | EYEMED VISION CARE - FIDELITY SECURITY LIFE INSURANCE | 362 | $39K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 736 | $140K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 600 | $54K |
| Other(6 contracts, 4 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 600 | $235K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 736 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.