| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS INC. | P.O. BOX 1488 TERRE HAUTE, IN 47808 | ANTHEM INSURANCE COMPANIES, INC. | $16K | — | $16K | 2.25% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS INC. | 925 WABASH AVENUE SUITE 200 TERRE HAUTE, IN 47807 | ANTHEM INSURANCE COMPANIES, INC. | $9K | — | $9K | 1.27% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS INC. | 600 EAST 96TH STREET SUITE 400 INDIANAPOLIS, IN 462403842 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | $530 | $9K | 9.86% |
| JODIE HAMBLEN3 | 2488 EAST COLONIAL AVENUE TERRE HAUTE, IN 47805 | AFLAC | $3K | $223 | $3K | 6.60% |
| KEVIN M VERST3 | 4573 IRONWOOD LANE TERRE HAUTE, IN 47802 | AFLAC | $2K | $53 | $2K | 4.20% |
| WILIAM RICHARD ELDEN3 | 400 WABASH AVENUE SUITE 10B TERRE HAUTE, IN 47807 | AFLAC | $1K | $62 | $1K | 2.75% |
| ROBERT W BURGETT3 | 1701 WEST 18TH STREET SUITE A INDIANAPOLIS, IN 46202 | AFLAC | $1K | $107 | $1K | 2.65% |
| KEVIN M VERST3 | 4573 IRONWOOD LANE TERRE HAUTE, IN 47802 | AFLAC | $940 | $170 | $1K | 2.58% |
| JAMES CHALOS3 | 400 WABASH AVENUE SUITE B10 TERRE HAUTE, IN 47807 | AFLAC | $720 | $45 | $765 | 1.78% |
| TINA BOWEN3 | 3290 SOUTH ROBINSON PLACE WEST TERRE HAUTE, IN 47885 | AFLAC | $267 | $51 | $318 | 0.74% |
| LARRY P WYNDHAM3 | 55 SOUTH FOREST AVENUE BRAZIL, IN 47834 | AFLAC | $74 | — | $74 | 0.17% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB ROAD FLYODS KNOBS, IN 47119 | AFLAC | $59 | — | $59 | 0.14% |
| PETE J EMMERT3 | 5904 OAKFORGE LANE INDIANAPOLIS, IN 46254 | AFLAC | $30 | — | $30 | 0.07% |
| LYNN M STEPPE3 | 1208 NORTH FARRIER STREET TERRE HAUTE, IN 47803 | AFLAC | $15 | — | $15 | 0.03% |
| LLOYD W HUGHES3 | 3775 NORTH US52 LEBANON, IN 46052 | AFLAC | $13 | — | $13 | 0.03% |
| MATTHEW A COOK3 | 10069 BENT TREE LANE FISHERS, IN 46037 | AFLAC | $9 | — | $9 | 0.02% |
| MARK A WOJDA3 | 631 GREENFORD TRAIL WEST CARMEL, IN 46032 | AFLAC | $8 | — | $8 | 0.02% |
| JAMES A BURRESS3 | 8755 OGDEN DUNES DRIVE CAMBY, IN 46113 | AFLAC | $8 | — | $8 | 0.02% |
| JENNIFER L MITCHEN3 | 9247 NORTH MERIDIAN STREET SUITE 205 INDIANAPOLIS, IN 46260 | AFLAC | $5 | — | $5 | 0.01% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DRIVE CARMEL, IN 46033 | AFLAC | $5 | — | $5 | 0.01% |
| JOHN T CLANCY3 | 4025 PETE DYE BOULEVARD CARMEL, IN 46033 | AFLAC | $4 | — | $4 | 0.01% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE COURT PLAINFIELD, IN 46168 | AFLAC | $3 | — | $3 | 0.01% |
| JOHN D TYLER3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $3 | — | $3 | 0.01% |
| AMY N GEHLHAUSEN3 | 3115 HOWARD DRIVE JASPER, IN 47546 | AFLAC | $1 | — | $1 | 0.00% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS INC. | P.O. BOX 1488 TERRE HAUTE, IN 47808 | ANTHEM LIFE INSURANCE COMPANY | $166 | $92 | $258 | 9.82% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS INC. | 925 WABASH AVENUE SUITE 200 TERRE HAUTE, IN 47807 | ANTHEM LIFE INSURANCE COMPANY | $96 | — | $96 | 3.65% |
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 | 163 | 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) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 133 | $707K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 178 | $86K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 178 | $86K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 178 | $89K |
| Other(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 178 | $132K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 178 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.