| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK D BRINEY3 | 110 WEST BERRY STREET SUITE 1600 FORT WAYNE, IN 468022368 | THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $4K | $920 | $5K | 7.76% |
| JEFFERY J RAPP3 | 110 WEST BERRY STREET SUITE 1600 FORT WAYNE, IN 46802 | THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $681 | $139 | $820 | 1.24% |
| KIECKER CORPORATION3 | CHASE TOWER 111 MONUMENT CIRCLE #3800 INDIANAPOLIS, IN 46204 | THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $621 | $67 | $688 | 1.04% |
| MATTHEW LOUIS HENRY3 | 110 WEST BERRY STREET SUITE 1600 FORT WAYNE, IN 46802 | THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | $17 | $4 | $21 | 0.03% |
| PHYSICIANS HEALTH PLAN OF NORTHERN3 Filed as: PHYSICIANS HEALTH PLAN OF NI | 8101 WEST JEFFERSON BOULEVARD FORT WAYNE, IN 46804 | COMPANION LIFE INSURANCE COMPANY | $2K | — | $2K | 6.26% |
| SUMMIT REINSURANCE SERVICES INC3 Filed as: SUMMIT REINSURANCE SERVICES INC. | 7030 POINTE INVERNESS WAY SUITE 350 FORT WAYNE, IN 46804 | COMPANION LIFE INSURANCE COMPANY | $552 | — | $552 | 2.00% |
| FINDLEY FINANCIAL CORP3 Filed as: FINDLEY FINANCIAL CORP. | 7030 POINTE INVERNESS WAY SUITE 200 FORT WAYNE, IN 46804 | ASSURITY LIFE INSURANCE COMPANY | $6K | — | $6K | 61.34% |
| UNIFIED EMPLOYEE BENEFITS3 | 2900 SOUTH 70TH STREET SUITE 300 LINCOLN, NE 68506 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 42.78% |
| FINDLEY FINANCIAL CORP3 Filed as: FINDLEY FINANCIAL CORP. | 7030 INVERNESS WAY SUITE 200 FORT WAYNE, IN 46804 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 17.26% |
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 | 114 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA | 196 | $1.5M |
| Life insurance | COMPANION LIFE INSURANCE COMPANY | 108 | $28K |
| Long-term disability | THE NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY | 105 | $66K |
| Prescription drug | PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA | 196 | $1.5M |
| Other(5 contracts, 5 carriers) | COMPANION LIFE INSURANCE COMPANY | 114 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.