| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 | 4500 TOWN CENTER BOULEVARD SUITE 200 JEFFERSONVILLE, IN 47130 | COMMUNITY INSURANCE COMPANY | $27K | $5K | $32K | 2.57% |
| SHAWAN MARQUIS AGENCY INC3 Filed as: SHAWAN MARQUIS AGENCY, INC. | 100 EAST WILSON BRIDGE ROAD SUITE 260 COLUMBUS, OH 43085 | COMMUNITY INSURANCE COMPANY | $938 | $0 | $938 | 0.08% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF PA, INC. | 125 EAST ELM STREET, SUITE 210 CONSHOHOCKEN, KY 19428 | UPMC HEALTH OPTIONS | $3K | $0 | $3K | 3.42% |
| ASSUREDPARTNERS3 | 4500 TOWN CENTER BOULEVARD SUITE 200 JEFFERSONVILLE, IN 47130 | AMERICAN UNITED LIFE INSURANCE COMPANY | $9K | $3K | $11K | 19.82% |
| JANET LYNN HORSTMAN3 | 285 GLENWORTH COURT POWELL, OH 43065 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | $0 | $5K | 12.57% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $754 | $3K | 6.52% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF PA, INC. | 125 EAST ELM STREET, SUITE 210 CONSHOHOCKEN, KY 19428 | STANDARD INSURANCE COMPANY | $1K | $0 | $1K | 4.54% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF NEW YORK, INC. | 595 STEWART AVENUE, SUITE 700 GARDEN CITY, NY 11530 | STANDARD INSURANCE COMPANY | $0 | $316 | $316 | 1.44% |
| ASSUREDPARTNERS3 | 179 FAIRFIELD AVENUE BELLEVUE, KY 41073 | STANDARD INSURANCE COMPANY | $176 | $0 | $176 | 0.80% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF PA, INC. | 125 EAST ELM STREET, SUITE 210 CONSHOHOCKEN, PA 19428 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | $391 | $2K | 14.48% |
| ASSUREDPARTNERS3 | 2305 RIVER ROAD LOUISVILLE, KY 40206 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $114 | $0 | $114 | 0.82% |
| INDEPENDENCE PLANNING GROUP3 | UNKNOWN DUBLIN, OH 43017 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8 | $0 | $8 | 0.06% |
| ASSUREDPARTNERS3 | 4000 SMITH ROAD, SUITE 400 CINCINNATI, OH 45209 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | $0 | $1K | 10.00% |
| INSURANCE ASSOCIATES PLUS, INC.3 | 6903 HUMMINGBIRD DRIVE MASON, OH 45040 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $520 | $0 | $520 | 5.06% |
| JANET LYNN HORSTMAN3 | 285 GLENWORTH COURT POWELL, OH 43065 | SUN LIFE ASSURANCE COMPANY OF CANADA | $665 | $0 | $665 | 9.14% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF PA., INC. | 125 EAST ELM STREET, SUITE 210 CONSHOHOCKEN, KY 19428 | UPMC HEALTH BENEFITS | $53 | $0 | $53 | 4.41% |
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 | 309 | 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) | 309 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 4 carriers) | COMMUNITY INSURANCE COMPANY | 309 | $2.3M |
| Dental(4 contracts, 4 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 309 | $69K |
| Vision(6 contracts, 4 carriers) | INDEPENDENCE BLUE CROSS | 309 | $1.0M |
| Life insurance(4 contracts, 4 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 309 | $111K |
| Short-term disability(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 185 | $97K |
| Long-term disability(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 185 | $97K |
| Prescription drug(4 contracts, 4 carriers) | COMMUNITY INSURANCE COMPANY | 309 | $2.3M |
| Other(4 contracts, 4 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 309 | $111K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 309 | — |
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."
No prospect flags tripped on this filing.