| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | ANTHEM INSURANCE COMPANIES, INC. | $45K | — | $45K | 1.63% |
| GREGORY & APPEL, INC.3 | 1402 N CAPITOL STE 400 INDIANAPOLIS, IN 46202 | ANTHEM INSURANCE COMPANIES, INC. | $27K | — | $27K | 0.95% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | PO BOX 8950 MADISON, WI 53708 | DELTA DENTAL OF INDIANA | $9K | — | $9K | 3.71% |
| GREGORY & APPEL, INC.3 | 1402 N CAPITOL AVE STE 400 INDIANAPOLIS, IN 46202 | DELTA DENTAL OF INDIANA | $5K | $319 | $6K | 2.44% |
| GREGORY & APPEL, INC.3 Filed as: GREGORY & APPEL INSURANCE | 1402 N CAPITAL AVE INDIANAPOLIS, IN 46202 | EYEMED VISION CARE- FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 10.36% |
| M3 INSURANCE SOLUTIONS INC3 Filed as: M3 INSURANCE SOLUTIONS INC. | 828 JOHN NOLEN DRIVE MADISON, WI 53713 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | $463 | $3K | 13.10% |
| GREGORY & APPEL, INC.3 Filed as: GREGORY & APPEL | 1402 N CAPITAL STE 400 INDIANAPOLIS, IN 46202 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $945 | — | $945 | 3.74% |
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 | 501 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 504 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 479 | $2.8M |
| Dental | DELTA DENTAL OF INDIANA | 771 | $237K |
| Vision | EYEMED VISION CARE- FIDELITY SECURITY LIFE INSURANCE COMPANY | 768 | $31K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,076 | $25K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,076 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,076 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.