Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe primary broker changed. The plan may listen to a new pitch.
Broker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
Premium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 6 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 1,578 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 314 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,892 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF INDIANA | 3,504 | $1.3M |
| Vision | VISION SERVICE PLAN | 1,434 | $197K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,865 | $1.2M |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,573 | $887K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,573 | $887K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,364 | $2.4M |
| Other(3 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,865 | $2.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,504 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Sun Life Assurance Company of Canada | |
Carrier: Sun Life Assurance Company of Canada | |
Carrier: Delta Dental of Indiana | |
Carrier: Vision Service Plan |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MARATHON HEALTH, LLC EIN 26-0103977 NONE | Direct payment from the plan; Other services Service code 49 | — | $1.1M |
| UMR, INC. EIN 39-1995276 NONE | Claims processing Service code 12 | — | $638K |
| HARTFORD LIFE AND ACCIDENT EIN 06-0838648 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $365K |
| JODY HIRST NONE | Other services; Direct payment from the plan Service code 49 | 394 VENTANA CT INDIANAPOLIS, IN 46290 | $90K |
| CVS PHARMACY EIN 05-0340626 NONE | Direct payment from the plan; Other services; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | — | $57K |
| THE VISIBILITY COMPANY (PROPEL) EIN 22-3873674 NONE | Direct payment from the plan; Other services Service code 49 | — | $44K |
| TOWERS WATSON EIN 53-0181291 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $42K |
| FORVIS MAZARS, LLP EIN 44-0160260 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $36K |
| QUIZZIFY, LLC EIN 46-5165032 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $28K |
| ST. VINCENT HOSPITAL EIN 35-0869066 NONE | Other fees; Direct payment from the plan Service code 50 | — | $10K |
| AMERICAN UNITED LIFE INSURANCE EIN 35-0145825 AFFILIATED ORG | Direct payment from the plan; Participant communication; Claims processing; Contract Administrator Service code 12 | — | $10K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
4 contacts
Phone and email for the top hat administrator are on Pro.
11 filings · 2015 to 2025