Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingTotal premium grew more than 20% over the prior year. The plan is a good candidate to re-shop its carriers.
Broker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
Multiple-employer welfare arrangement. It has its own regulatory and compliance rules.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 5 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 776 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 477 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,253 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 320 | $90K |
| Dental | DELTA DENTAL OF INDIANA | 1,127 | $456K |
| Vision | VISION SERVICE PLAN | 526 | $69K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 1,771 | $1.3M |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 1,771 | $1.3M |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 1,771 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,771 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Symetra Life Insurance Company | |
Carrier: Delta Dental of Indiana | |
Carrier: Vision Service Plan | |
Carrier: Metropolitan Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NAMIC INSURANCE AGENCY EIN 35-1469772 NONE | Direct payment from the plan; Legal; Consulting (general) Service code 16 | 10 W. 106TH ST, SUITE 100 INDIANAPOLIS, IN 46290 | $298K |
| FORREST T. JONES & COMPANY, INC NONE | Direct payment from the plan; Consulting (general) Service code 16 | 3130 BROADWAY KANSAS CITY, MO 64111 | $56K |
| PNC BANK EIN 22-1146430 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | 1900 E 9TH STREET 8FL CLEVELAND, OH 44114 | $25K |
| ISCO HUMAN RESOURCES ASSOCTN INC EIN 46-5048228 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $25K |
| L.M. HENDERSON & COMPANY, LLP EIN 20-5520612 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 450 E 96TH STREET STE 200 INDIANAPOLIS, IN 46240 | $22K |
| RON CASSESSO NONE | Named fiduciary; Direct payment from the plan Service code 31 | 10 W. 106TH ST, SUITE 100 INDIANAPOLIS, IN 46290 | $20K |
| THE SEGAL COMPANY EIN 13-1835864 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | 30 WATERSIDE DR. STE 300 FARMINGTON, CT 06032 | $19K |
| EXTEND HEALTH, INC NONE | Consulting (general); Direct payment from the plan Service code 16 | 38 EAST SCENIC POINTE DR DRAPER, UT 84020 | $16K |
| IRON MOUNTAIN NONE | Direct payment from the plan; Recordkeeping fees Service code 50 | — | $16K |
| CLARITY BENEFIT SOLUTIONS FSA NONE | Direct payment from the plan; Consulting (general) Service code 16 | 90 WOODBRIDGE CENTER DR. WOODBRIDGE, NJ 07095 | $15K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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11 filings · 2015 to 2025