| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT A PEEL3 | 14212 VESTAL COURT CARMEL, IN 46033 | COMPANION LIFE INSURANCE COMPANY | $4K | $2K | $5K | 12.51% |
| ROBERT A PEEL3 | 14212 VESTAL COURT CARMEL, IN 46033 | COMPANION LIFE INSURANCE COMPANY | $2K | — | $2K | 9.57% |
| INSURANCE BROKERAGE ALTERNATIVE3 Filed as: INSURANCE BROKERAGE ALTERNATIVE LLC | 14212 VESTAL COURT CARMEL, IN 46033 | COMPANION LIFE INSURANCE COMPANY | $852 | — | $852 | 4.79% |
| MELISSA K BARNHART3 | 12936 SAINT ANDREWS WAY FISHERS, IN 46038 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $1K | — | $1K | 16.16% |
| INSURANCE BROKERAGE ALTERNATIVE3 Filed as: INSURANCE BROKERAGE ALTERNATIVES LL | 14212 VESTAL COURT CARMEL, IN 46033 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $581 | — | $581 | 8.92% |
| MELISSA K BARNHART3 | 12936 SAINT ANDREWS WAY FISHERS, IN 46038 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $538 | — | $538 | 10.00% |
| INSURANCE BROKERAGE ALTERNATIVE3 Filed as: INSURANCE BROKERAGE | 14212 VESTAL COURT CARMEL, IN 46033 | AMERICAN GENERAL LIFE INSURANCE COMPANY | $336 | — | $336 | 6.25% |
| ROBERT A PEEL3 Filed as: ROBERT A. PEEL | 14212 VESTAL COURT CARMEL, IN 46033 | COMPANION LIFE INSURANCE COMPANY | $391 | — | $391 | 9.66% |
| INSURANCE BROKERAGE ALTERNATIVE3 Filed as: INSURANCE BROKERAGE ALTERNATIVE LLC | 14212 VESTAL COURT CARMEL, IN 46033 | COMPANION LIFE INSURANCE COMPANY | $196 | — | $196 | 4.84% |
| KENNETH W JACKSON II3 Filed as: KENNETH W. JACKSON II | 520 MORSE LANDING DRIVE CICERO, IN 46034 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $40 | — | $40 | 17.94% |
| INSURANCE BROKERAGE ALTERNATIVE3 | 14212 VESTAL COURT CARMEL, IN 46033 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $5 | — | $5 | 2.24% |
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 | 249 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 12 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 261 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | COMPANION LIFE INSURANCE COMPANY | 72 | $18K |
| Vision | COMPANION LIFE INSURANCE COMPANY | 54 | $4K |
| Life insurance(2 contracts) | AMERICAN GENERAL LIFE INSURANCE COMPANY | 209 | $12K |
| Stop-loss / reinsurancereinsurance | TIME INSURANCE COMPANY | 73 | $247K |
| Other(4 contracts, 3 carriers) | COMPANION LIFE INSURANCE COMPANY | 209 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 209 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.