| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HASTINGS WILLIAMS AGENCY, INC.3 | 4634 E. 400 S MONTGOMERY, IN 47558 | AFLAC | $4K | — | $4K | 9.80% |
| CHERYL SEGER3 | 2935 N. CELESTINE ROAD N DUBOIS, IN 47527 | AFLAC | $2K | $41 | $2K | 4.40% |
| MARSHA S TALLEY3 Filed as: MARSHA TALLEY | 4295 W. PEBBLE DRIVE JASPER, IN 47546 | AFLAC | $1K | $20 | $1K | 3.53% |
| ROBIN FROMME3 | 1001 EISENHOWER AVENUE JASPER, IN 47546 | AFLAC | $1K | $44 | $1K | 3.45% |
| KYLE ELLISON3 | 3524 ELMRIDGE DRIVE EVANSVILLE, IN 47711 | AFLAC | $689 | $20 | $709 | 1.94% |
| INS & BUSINESS PLANNING, INC.3 | 101 N. PLAZA EAST BLVD SUITE 201 EVANSVILLE, IN 47715 | AFLAC | $257 | — | $257 | 0.70% |
| BRANDEE L JUSTUS3 Filed as: BRANDEE JUSTUS | 5700 VICTORIA BLUFFS DRIVE NEWBURGH, IN 47630 | AFLAC | $190 | — | $190 | 0.52% |
| AMANDA VANJICKI3 | 953 N. HONEYSUCKLE LANE VINCENNES, IN 47591 | AFLAC | $82 | — | $82 | 0.22% |
| JAMES R STROSNIDER3 Filed as: JAMES STROSNIDER | 704 SE 11TH STREET WASHINGTON, IN 47501 | AFLAC | $65 | — | $65 | 0.18% |
| KENZIE DAVES3 | 4453 E. STATE ROAD SUITE 56 WINSLOW, IN 47598 | AFLAC | $49 | — | $49 | 0.13% |
| LAUREL A SEGER3 Filed as: LAUREL SEGER | 902A MAIN STREET JASPER, IN 47546 | AFLAC | $25 | — | $25 | 0.07% |
| MARK MYERS3 | 1745 N 75 E WASHINGTON, IN 47501 | AFLAC | $20 | — | $20 | 0.05% |
| UNIFIED GROUP SERVICES, INC.3 | 3131 EAST 67TH STREET ANDERSON, IN 46013 | HCC LIFE INSURANCE COMPANY | $2K | $393 | $3K | 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 | 142 | 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) | 142 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Other(2 contracts, 2 carriers) | AFLAC | 139 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 139 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.