| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | $0 | $11K | 3.52% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 62889 VIRGINIA BEACH, VA 23466 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | $0 | $11K | 3.39% |
| MARICA HUMMEL3 | 51327 HOLLYHOCK ROAD SOUTH BEND, IN 46637 | AFLAC | $2K | $0 | $2K | 3.65% |
| KELLY G. WENTZ3 Filed as: KELLY WENTZ | 2629 UPPER CANEY VALLEY ROAD TAZEWELL, TN 37879 | AFLAC | $1K | $87 | $1K | 3.25% |
| MJ INSURANCE3 Filed as: DAVID KREMER AND VARIOUS AGENTS | 2150 ASSOCIATION DRIVE, SUITE 150 OKEMOS, MI 48864 | AFLAC | $965 | $13 | $978 | 2.31% |
| PAUL GLOBAL BENEFITS INC3 Filed as: PAUL MARTINDALE | 1001 NORTH HICKORY ROAD, SUITE 3 SOUTH BEND, IN 46615 | AFLAC | $579 | $13 | $592 | 1.40% |
| ROBERT L. FOWLER3 Filed as: ROBERT FOWLER | 5720 ARROYO DUNES AVENUE LAS VEGAS, NV 89130 | AFLAC | $507 | $0 | $507 | 1.20% |
| BENJAMIN HUNTER3 | 11193 GUY STREET FISHERS, IN 46038 | AFLAC | $243 | $0 | $243 | 0.57% |
| DANIEL L. BLACKETOR3 Filed as: DANIEL BLACKETOR | 59701 MYRTLE ROAD SOUTH BEND, IN 46614 | AFLAC | $201 | $0 | $201 | 0.48% |
| KELLY G. WENTZ3 | 2629 UPPER CANEY VALLEY ROAD TAZENWELL, TN 37879 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 4.16% |
| PAUL M MARTINDALE3 Filed as: PAUL M. MARTINDALE | 10255 PRETTY CAKE TRAIL PLYMOUTH, IN 46563 | CONTINENTAL AMERICAN INSURANCE COMPANY | $670 | $0 | $670 | 2.32% |
| DAVID J MCCLELLAN3 Filed as: DAVID KREMER | 3550 PARK PLACE WEST MISHAWAKA, IN 46545 | CONTINENTAL AMERICAN INSURANCE COMPANY | $288 | $0 | $288 | 1.00% |
| NAVILLE & ASSOCIATES3 Filed as: NAVILLE AND ASSOCIATES | 14220 OVERBROOK DRIVE CARME, IN 46074 | CONTINENTAL AMERICAN INSURANCE COMPANY | $168 | $0 | $168 | 0.58% |
| MARK A WOJDA3 Filed as: MARK WOJDA AND OTHER AGENTS | 9247 NORTH MERIDIAN STREET SUITE 205 INDIIANAPOLIS, IN 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $150 | $0 | $150 | 0.52% |
| ERIN PEDERSON3 | 123 CENTER PARK DRIVE, SUITE 102 KNOXVILLE, TN 37922 | CONTINENTAL AMERICAN INSURANCE COMPANY | $134 | $0 | $134 | 0.46% |
| MATTHEW D BUTLER3 Filed as: MATTHEW D. BUTLER | 2427 COVERED BRIDGE BOULEVARD KNOXVILLE, TN 37932 | CONTINENTAL AMERICAN INSURANCE COMPANY | $96 | $0 | $96 | 0.33% |
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 | 529 | 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) | 529 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 529 | $315K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 529 | $315K |
| Other(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 529 | $386K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 529 | — |
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.