| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF INDIANA, LLC-RICHA | 11555 N MERIDIAN ST STE 220 CARMEL, IN 46032 | DELTA DENTAL OF INDIANA | $6K | — | $6K | 8.42% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES, I | 300 N BEACH ST DAYTONA BEACH, FL 32114 | DELTA DENTAL OF INDIANA | $963 | — | $963 | 1.44% |
| DATIS HR CLOUD INC3 | PO BOX 715019 CINCINNATI, OH 45271 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $4K | $4K | 7.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF INDIANA LLC | 11595 N MERIDIAN ST #250 CARMEL, IN 46032 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $798 | $798 | 1.36% |
| DATIS HR CLOUD INC3 | PO BOX 715019 CINCINNATI, OH 45271 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 7.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF INDIANA LLC | 11595 N MERIDIAN ST #250 CARMEL, IN 46032 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $295 | $295 | 1.41% |
| DATIS HR CLOUD INC3 | PO BOX 715019 CINCINNATI, OH 45271 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $250 | $250 | 6.99% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF INDIANA LLC | 11595 N MERIDIAN ST #250 CARMEL, IN 46032 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $53 | $53 | 1.48% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | — | -$1K |
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 | 174 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 14 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 192 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF INDIANA | 239 | $67K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 229 | $356K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 240 | $4K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 128 | $59K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 241 | $21K |
| Stop-loss / reinsurancereinsurance | UNITEDHEALTHCARE INSURANCE COMPANY | 229 | $356K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 240 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 241 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.