| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHELSEY DREIBELBIS3 | 629 CHARNWOOD PARKWAY BEECH GROVE, IN 46107 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31K | $9K | $41K | 16.97% |
| BRANDON MARCELLO CENTO3 | 7060 OAKBAY DRIVE NOBLESVILLE, IN 46062 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21K | $9K | $30K | 12.56% |
| ELIZABETH LOUISE FENDER3 | 335 SOUTH EMERSON AVENUE INDIANAPOLIS, IN 46219 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | $427 | $10K | 4.32% |
| HOWARD HOROWITZ3 Filed as: HOWARD J HOROWITZ | 2610 ALCOTT STREET CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $2K | $7K | 2.86% |
| GARY A INERSON3 | 12576 BLUE HOLLY DRIVE NOBLESVILLE, IN 46060 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | — | $7K | 2.85% |
| MARY DAUGHERTY3 | 7625 STAR GAZING LANE KNOXVILLE, TN 37938 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $2K | $6K | 2.56% |
| DAVID W OTTINGER3 | 111 CURRY HILL ROAD LEMONT FURNACE, PA 15456 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $172 | $3K | 1.10% |
| KY ALAYNA BYRD3 | 16736 ASHLEY BOULEVARD WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $232 | $2K | 0.88% |
| KIH INSURANCE INC3 Filed as: KIH INSURANCE INC. | 3357 POLK STREET NE MINNEAPOLIS, MN 55418 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $350 | $2K | 0.71% |
| JENNIFER JOY STARR3 | 1222 B PARADISE WAY NORTH DRIVE GREENWOOD, IN 46143 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $50 | $2K | 0.64% |
| BARBARA J LAKE3 | 226 NORTH HIGH STREET MORRISTOWN, IN 46161 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $6 | $1K | 0.54% |
| KEITH GARNER3 | 11279 HYLAS DRIVE NOBLESVILLE, IN 46060 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $887 | — | $887 | 0.37% |
| JEFFREY LUXENBERG3 | 307 LONGTREE LANE LOGANSPORT, IN 46947 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $283 | $585 | $868 | 0.36% |
| JEFFREY D BRINDLE3 | 10811 LAKEVIEW DRIVE CARMEL, IN 46033 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $651 | $3 | $654 | 0.27% |
| LEANNA MARIE RHOADES3 | 7317 ROCKLEIGH AVENUE INDIANAPOLIS, IN 46214 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $554 | $79 | $633 | 0.26% |
| JOE GORDON3 | 5417 WINTHROP AVENUE INDIANAPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $368 | $211 | $579 | 0.24% |
| PARRISH J PEACHEE3 | 109 NORTH UNION STREET WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $530 | — | $530 | 0.22% |
| BARBARA K GROSS3 | 15 WEBER ROAD JEANETTE, PA 15644 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $447 | — | $447 | 0.19% |
| MARC A GROVE3 | 25900 AUTUMN WAY ROGERS, MN 55374 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $211 | $162 | $373 | 0.16% |
| MARGARET M GRAHAM3 | 200 CROOKED CREEK DRIVE ONEIDA, TN 37841 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $307 | $2 | $309 | 0.13% |
| TERRI SUE LUPTON3 | 336 NORTH WHITTIER PLACE INDIANAPOLIS, IN 46219 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $209 | $31 | $240 | 0.10% |
| JOSEPH M TAMER3 | 6500 PAPERMILL DRIVE KNOXVILLE, TN 37919 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $133 | $81 | $214 | 0.09% |
| KIMMON R GUSEMAN3 | 48 NICKMAN PLAZA LEMONT FURNACE, PA 15456 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $193 | — | $193 | 0.08% |
| DAVID RUSSELL3 | 228 CAROL DRIVE NEW ALEXANDRIA, PA 15670 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $191 | — | $191 | 0.08% |
| JEREMY M NEWPORT3 | 2006 BRADFORD TRACE BOULEVARD INDIANAPOLIS, IN 46229 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $155 | — | $155 | 0.06% |
| PATRICIA A DUNCAN3 | 520 WHEATFIELD ROAD FRANKLIN, NC 28734 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $145 | $5 | $150 | 0.06% |
| NORMA J DAVIS3 | 269 RUFFIAN TRAIL CORBIN, KY 40701 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $137 | — | $137 | 0.06% |
| DANA MARIE MOWATT3 | 23701 SOUTH WESTERN AVENUE SUITE 112 TORRANCE, CA 90501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $131 | $6 | $137 | 0.06% |
| JM TAMER & CO3 | 6500 PAPERMILL DRIVE KNOXVILLE, TN 37919 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $88 | $44 | $132 | 0.06% |
| DONNA TROXELL3 | 706 WESTWOOD DRIVE GIBSONIA, PA 15044 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $68 | $34 | $102 | 0.04% |
| CLARICE R MIMS3 | 172-90 HIGHLAND AVENUE JAMAICA ESTATES, NY 11432 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $72 | $12 | $84 | 0.04% |
| ROGLE INC3 Filed as: ROGLE INC. | 2108 NORTH PENNSYLVANIA STREET INDIANAPOLIS, IN 46202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | $54 | $76 | 0.03% |
| SEDRAK KESHESHIAN3 | 132 NORTH FURLONG DRIVE LAFAYETTE, IN 47905 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $66 | — | $66 | 0.03% |
| LVI BENEFITS SERVICES LLC3 | 2985 SURREY RIDGE ROAD CLARKSVILLE, TN 37043 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $40 | $10 | $50 | 0.02% |
| BRAD BIEL3 | 1050 WALL STREET WEST LYNDHURST, NJ 07071 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | $22 | $33 | 0.01% |
| NORTH FLORIDA BROKER SOLUTIONS LLC3 | 1550 HARRINGTON PARK DRIVE JACKSONVILLE, FL 32225 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | $4 | $26 | 0.01% |
| VICTORIA L FLYNN3 | 7009 FAIRVIEW ROAD CORRYTON, TN 37721 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $23 | $2 | $25 | 0.01% |
| KATHERINE L STEPHENS3 | 1 NORTH ILLINOIS STREET INDIANAPOLIS, IN 46204 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 0.01% |
| BENEFIT SOLUTIONS INC3 Filed as: BENEFIT SOLUTIONS GROUP INC. | 4021 ST GERMAINE COURT LOUISVILLE, KY 40207 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | $1 | $20 | 0.01% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF KENTUCKY LLC | P.O. BOX 99565 LOUISVILLE, KY 40269 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.00% |
| ROBERT OWEN3 | 510 ROXURY LANE NOBLESVILLE, IN 46062 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.00% |
| LIG BENEFITS LLC3 | 4302 DARBROOK ROAD LOUISVILLE, KY 40207 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | $1 | $9 | 0.00% |
| JEFFREY D HARNED3 | 13117 EASTPOINT PARK BOULEVARD LOUISVILLE, KY 40233 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $3 | $6 | 0.00% |
| WILLIAM JACK MITCHELL JR3 Filed as: WILLIAM JACK MITCHELL | 920 SOUTH ASH STREET NORTH PLATTE, NE 69101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $2 | $4 | 0.00% |
| CENTO INSURANCE GROUP LLC3 | 7060 OAKBAY DRIVE NOBLESVILLE, IN 46062 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $15K | $3K | $18K | 12.10% |
| CENTO INSURANCE GROUP LLC3 | 7060 OAKBAY DRIVE NOBLESVILLE, IN 46062 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 2.24% |
| CENTO INSURANCE GROUP LLC3 | 7060 OAKBAY DRIVE NOBLESVILLE, IN 46062 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $12K | $2K | $15K | 11.98% |
| ENROLLEASE3 Filed as: FIRST PERSON BENEFIT ADVISORS | 9000 KEYSTONE CROSSING SUITE 910 INDIANAPOLIS, IN 46240 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $15K | $5K | $20K | 21.58% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC. | 571 MONON BOULEVARD SUITE 400 CARMEL, IN 46032 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $10K | $72 | $10K | 10.43% |
| CHELSEY DREIBELBIS3 | 629 CHARNWOOD PARKWAY BEECH GROVE, IN 46107 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | $3K | $12K | 15.65% |
| BRANDON MARCELLO CENTO3 | 7060 OAKBAY DRIVE NOBLESVILLE, IN 46062 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $2K | $5K | 6.72% |
| MARY DAUGHERTY3 | 7625 STAR GAZING LANE KNOXVILLE, TN 37938 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $675 | $3K | 3.24% |
| DAVID W OTTINGER3 | 111 CURRY HILL ROAD LEMONT FURNACE, PA 15456 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $101 | $2K | 1.95% |
| GARY A INERSON3 | 12576 BLUE HOLLY DRIVE NOBLESVILLE, IN 46060 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.84% |
| HOWARD HOROWITZ3 Filed as: HOWARD J HOROWITZ | 2610 ALCOTT STREET CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $981 | $365 | $1K | 1.69% |
| ELIZABETH LOUISE FENDER3 | 335 SOUTH EMERSON AVENUE INDIANAPOLIS, IN 46219 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $49 | $1K | 1.61% |
| KY ALAYNA BYRD3 | 16736 ASHLEY BOULEVARD WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $604 | $75 | $679 | 0.85% |
| JENNIFER JOY STARR3 | 1222 B PARADISE WAY NORTH DRIVE GREENWOOD, IN 46143 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $598 | $21 | $619 | 0.78% |
| KLM INSURANCE INC.3 | 3357 POLK STREET NE MINNEAPOLIS, MN 55418 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $412 | $106 | $518 | 0.65% |
| B & B INSURANCE SOLUTIONS INC3 | 12002 SW 128TH COURT MIAMI, FL 33186 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $241 | $172 | $413 | 0.52% |
| KEITH GARNER3 | 11279 HYLAS DRIVE NOBLESVILLE, IN 46060 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $307 | — | $307 | 0.39% |
| BARBARA J LAKE3 | 226 NORTH HIGH STREET MORRISTOWN, IN 46161 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $217 | $1 | $218 | 0.27% |
| LEANNA MARIE RHOADES3 | 7317 ROCKLEIGH AVENUE INDIANAPOLIS, IN 46214 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $180 | $26 | $206 | 0.26% |
| JEFFREY LUXENBERG3 | 307 LONGTREE LANE LOGANSPORT, IN 46947 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $57 | $118 | $175 | 0.22% |
| KIMMON R GUSEMAN3 | 48 NICKMAN PLAZA LEMONT FURNACE, PA 15456 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $171 | — | $171 | 0.21% |
| MARC A GROVE3 | 25900 AUTUMN WAY ROGERS, MN 55374 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $64 | $49 | $113 | 0.14% |
| PARRISH J PEACHEE3 | 6152 PUNKINVINE ROAD LEBANON, IN 46052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $70 | — | $70 | 0.09% |
| JEFFERY D BRINDLE3 | 10811 LAKEVIEW DRIVE CARMEL, IN 46033 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $60 | — | $60 | 0.08% |
| DAVID RUSSELL3 | 228 CAROL DRIVE NEW ALEXANDRIA, PA 15670 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $54 | — | $54 | 0.07% |
| PATRICIA A DUNCAN3 | 520 WHEATFIELD ROAD FRANKLIN, NC 28734 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $52 | $2 | $54 | 0.07% |
| CLARICE R MIMS3 | 172-90 HIGHLAND AVENUE JAMAICA ESTATES, NY 11432 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $25 | $4 | $29 | 0.04% |
| MARGARET M GRAHAM3 | 200 CROOKED CREEK DRIVE ONEIDA, TN 37841 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $25 | — | $25 | 0.03% |
| TERRI SUE LUPTON3 | 336 NORTH WHITTIER PLACE INDIANAPOLIS, IN 46219 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $3 | $20 | 0.03% |
| BRITO BENEFITS SOLUTIONS INC3 | 14716 SOUTHWEST 112 TER MIAMI, FL 33196 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | $6 | $20 | 0.03% |
| DANA MARIE MOWATT3 | 23701 SOUTH WESTERN AVENUE SUITE 112 TORRANCE, CA 90501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $1 | $18 | 0.02% |
| JM TAMER & CO3 | 6500 PAPERMILL DRIVE KNOXVILLE, TN 37919 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | $4 | $12 | 0.02% |
| BRAD BIEL3 | 1050 WALL STREET WEST LYNDHURST, NJ 07071 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $7 | $11 | 0.01% |
| NORTH FLORIDA BROKER SOLUTIONS LLC3 | 1550 HARRINGTON PARK DRIVE JACKSONVILLE, FL 32225 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | $1 | $9 | 0.01% |
| NORMA J DAVIS3 | 269 RUFFIAN TRAIL CORBIN, KY 40701 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| JOE GORDON3 | 5417 WINTHROP AVENEUE INDIANAPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| BARBARA K GROSS3 | 15 WEBER ROAD JEANNETTE, PA 15644 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON SOUTHEAST INC | 265 BROOKVIEW CENTRE WAY KNOXVILLE, TN 37919 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| DONNA TROXELL3 | 706 WESTWOOD DRIVE GIBSONIA, PA 15044 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| LVI BENEFITS SERVICES LLC3 | 2985 SURREY RIDGE ROAD CLARKSVILLE, TN 37043 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| JEFFREY C. LYNCH3 Filed as: JEFFREY C LYNCH | 783 OLD HICKORY BOULEVARD BRENTWOOD, TN 37027 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| CENTO INSURANCE GROUP LLC3 | 7060 OAKBAY DRIVE NOBLESVILLE, IN 46062 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $647 | $647 | 2.13% |
| ELIZABETH LOUISE FENDER3 | 335 SOUTH EMERSON AVENUE INDIANAPOLIS, IN 46219 | THE PAUL REVERE LIFE INSURANCE COMPANY | $24 | — | $24 | 12.63% |
| BRANDON MARCELLO CENTO3 | 7060 OAKBAY DRIVE NOBLESVILLE, IN 46062 | THE PAUL REVERE LIFE INSURANCE COMPANY | $9 | — | $9 | 4.74% |
| GARY A INERSON3 | 12576 BLUE HOLLY DRIVE NOBLESVILLE, IN 46060 | THE PAUL REVERE LIFE INSURANCE COMPANY | $7 | — | $7 | 3.68% |
| JEFFREY D BRINDLE3 | 10811 LAKEVIEW DRIVE CARMEL, IN 46033 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2 | — | $2 | 1.05% |
| JOE GORDON3 | 5417 WINTHROP AVENUE INDIANAPOLIS, IN 46620 | THE PAUL REVERE LIFE INSURANCE COMPANY | $2 | — | $2 | 1.05% |
| ELIZABETH LOUISE FENDER3 | 335 SOUTH EMERSON AVENUE INDIANAPOLIS, IN 46219 | THE PAUL REVERE LIFE INSURANCE COMPANY | $1 | — | $1 | 1.59% |
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 | 841 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 844 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 492 | $93K |
| Life insurance(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 588 | $271K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 569 | $134K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 308 | $124K |
| Other(5 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 588 | $350K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 588 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.