| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MJ INSURANCE3 Filed as: MJ INS INC | PO BOX 3430 CARMEL, IN 46082 | METROPOLITAN LIFE INSURANCE COMPANY | $15K | $0 | $15K | 10.26% |
| STEELE INSURANCE3 Filed as: STEELE INS. AND FINANCIAL | 9020 CRAWFORDSVILLE RD INDIANAPOLIS, IN 46234 | METROPOLITAN LIFE INSURANCE COMPANY | $22K | $4 | $22K | 27.44% |
| MJ INSURANCE3 Filed as: MJ INS INC | PO BOX 3430 CARMEL, IN 46082 | METROPOLITAN LIFE INSURANCE COMPANY | $22K | $0 | $22K | 27.44% |
| M J INSURANCE INC.3 Filed as: M J INSURANCE | PO BOX 3430 CARMEL, IN 460823430 | UNITED HEALTHCARE INSURANCE COMPANY | $4K | $0 | $4K | 9.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | — | $364K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 CLAIMS PROCESSOR | Claims processing; Contract Administrator Service code 12 | — | $21K |
| M J INSURANCE, INC. EIN 35-1109367 BROKER | Other commissions Service code 55 | — | $0 |
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 | 646 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 646 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 874 | $43K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 810 | $147K |
| Short-term disability(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 810 | $228K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 810 | $147K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 810 | $147K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 874 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.