| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HASTINGS WILLIAMS AGENCY, INC.3 | 4634 E. 400 S MONTGOMERY, IN 47558 | AFLAC | $12K | — | $12K | 14.36% |
| CHERYL SEGER3 | 2935 N. CELESTINE ROAD N DUBOIS, IN 47527 | AFLAC | $4K | $445 | $4K | 4.97% |
| MARSHA S TALLEY3 Filed as: MARSHA TALLEY | 4295 W. PEBBLE DRIVE JASPER, IN 47546 | AFLAC | $4K | $204 | $4K | 4.59% |
| ROBIN FROMME3 | 1001 EISENHOWER AVENUE JASPER, IN 47546 | AFLAC | $3K | $405 | $4K | 4.41% |
| KYLE ELLISON3 | 3524 ELMRIDGE DRIVE EVANSVILLE, IN 47711 | AFLAC | $2K | $211 | $3K | 3.13% |
| KENZIE DAVES3 | 4453 E. STATE ROAD SUITE 56 WINSLOW, IN 47598 | AFLAC | $887 | $166 | $1K | 1.27% |
| KELSEY KIEFER3 | 112 E. 12TH STREET JASPER, IN 47546 | AFLAC | $346 | $5 | $351 | 0.42% |
| AMANDA VANJICKI3 | 953 N. HONEYSUCKLE LANE VINCENNES, IN 47591 | AFLAC | $289 | $59 | $348 | 0.42% |
| MARK MYERS3 | 1745 N 75 E WASHINGTON, IN 47501 | AFLAC | $220 | $29 | $249 | 0.30% |
| BRANDEE L JUSTUS3 Filed as: BRANDEE JUSTUS | 5700 VICTORIA BLUFFS DRIVE NEWBURGH, IN 47630 | AFLAC | $181 | — | $181 | 0.22% |
| JAMES R STROSNIDER3 Filed as: JAMES STROSNIDER | 704 SE 11TH STREET WASHINGTON, IN 47501 | AFLAC | $75 | — | $75 | 0.09% |
| INS & BUSINESS PLANNING, INC.3 | 101 N. PLAZA EAST BLVD SUITE 201 EVANSVILLE, IN 47715 | AFLAC | $63 | — | $63 | 0.08% |
| LAUREL A SEGER3 Filed as: LAUREL SEGER | 902A MAIN STREET JASPER, IN 47546 | AFLAC | $46 | — | $46 | 0.06% |
| SHAWN M THEIS3 Filed as: SHAWN THEIS | 8056 AQUADALE DRIVE YOUNGSTOWN, OH 44512 | AFLAC | $10 | — | $10 | 0.01% |
| JOSHUA K HOPPE3 Filed as: JOSHUA HOPPE | 85076 MAJESTC WALK CIRCLE FERNANDINA BEACH, FL 32034 | AFLAC | $5 | — | $5 | 0.01% |
| SCOTT A SMITH3 Filed as: SCOTT SMITH | 6340 SUGARLOAF PARKWAY SUITE 200 DULUTH, GA 30097 | AFLAC | $3 | — | $3 | 0.00% |
| MARKUS MUELLER3 | 7665 FIELDSTONE RANCH SQ VERO BEACH, FL 32967 | AFLAC | $1 | — | $1 | 0.00% |
| UNIFIED GROUP SERVICES, INC.3 | 3131 EAST 67TH STREET ANDERSON, IN 46013 | HCC LIFE INSURANCE COMPANY | $3K | $569 | $4K | 11.80% |
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 | 188 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 188 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Other(2 contracts, 2 carriers) | AFLAC | 188 | $114K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 188 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.