| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCASCIO HADDEN & DENNIS LLC3 Filed as: LOCASCIO HADDEN & DENNIS, LLC | 250 W 96TH ST STE 350 INDIANAPOLIS, IN 46260 | RELIASTAR LIFE INSURANCE COMPANY | $9K | $54K | $62K | 3.11% |
| LOCASCIO HADDEN & DENNIS LLC3 Filed as: LOCASCIO HADDEN & DENNIS, LLC | 250 W. 96TH ST STE 350 INDIANAPOLIS, IN 46260 | DELTA DENTAL OF INDIANA | $4K | $0 | $4K | 0.27% |
| LOCASCIO HADDEN & DENNIS LLC3 Filed as: LOCASCIO HADDEN & DENNIS, LLC | 250 W 96TH STE 350 INDIANAPOLIS, IN 46260 | VISION SERVICE PLAN | — | $10K | $10K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANY EIN 35-0781558 NONE | Contract Administrator; Float revenue; Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $1.4M |
| OURHEALTH, LLC EIN 27-1353079 NONE | Other services Service code 49 | 10 WEST MARKET STE 2900 INDIANAPOLIS, IN 46204 | $1.2M |
| TOWERS WATSON EIN 53-0181291 NONE | Actuarial Service code 11 | 191 NORTH WACKER DRIVE SUITE 2100 CHICAGO, IL 60606 | $39K |
| ARCHIMEDES, LLC EIN 81-1158028 NONE | Claims processing Service code 12 | 7271 NOLENSVILLE ROAD, STE 200 NOLENSVILLE, TN 37135 | $32K |
| WEST HEALTH ADVOCATE SOLUTIONS INC. EIN 23-3080019 NONE | Other services Service code 49 | 11808 MIRACLE HILLS DRIVE OMAHA, NE 68154 | $28K |
| YOUNG MEN'S CHRISTIAN ASSOCIATION EIN 35-0868211 NONE | Consulting (general) Service code 16 | 615 NORTH ALABAMA STREET, SUITE 200 INDIANAPOLIS, IN 46204 | $27K |
| BKD, LLC EIN 44-0160260 NONE | Accounting (including auditing) Service code 10 | PO BOX 44998 INDIANAPOLIS, IN 46244 | $20K |
| ST. VINCENT HOSPITAL EIN 35-0869066 NONE | Other fees Service code 99 | MOBILE MAMMOGRAPHY PROGRAM 8550 NAAB ROAD, SUITE 300 INDIANAPOLIS, IN 46260 | $18K |
| CVS PHARMACY, INC. EIN 05-0340626 NONE | Other services; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | ONE CVS DRIVE WOONSOCKET, RI 02895 | $16K |
| AMERICAN UNITED LIFE INSURANCE EIN 35-0145825 AFFILIATE | Direct payment from the plan; Contract Administrator; Claims processing; Participant communication Service code 12 | ONE AMERICAN SQUARE INDIANAPOLIS, IN 46282 | $13K |
| TRUELIFECARE, LLC EIN 45-4924871 NONE | Claims processing Service code 12 | 205 POWELL PL, STE 114 BRENTWOOD, TN 37027 | $12K |
| LABORATORY CORPORATION OF AMERICA EIN 13-3757370 NONE | Other services Service code 49 | 500 PERIMETER PARK DRIVE, SUITE C MORRISVILLE, NC 27560 | $11K |
| QUIZZIFY, LLC EIN 46-5165032 NONE | Consulting (general) Service code 16 | 1732 1ST AVE #23729 NEW YORK, NY 101285177 | $9K |
| EMPLOYERS HEALTH COALITION EIN 34-1403820 NONE | Other services Service code 49 | 4771 FULTON DRIVE NW CANTON, OH 44718 | $9K |
| THE VISIBILITY COMPANY (PROPEL) EIN 22-3873674 NONE | Other services Service code 49 | 105 CONTINENTAL PLACE SUITE 160 BRENTWOOD, TN 37027 | $8K |
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 | 2,225 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 364 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,589 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF INDIANA | 4,921 | $1.6M |
| Vision | VISION SERVICE PLAN | 1,784 | $197K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 2,602 | $1.1M |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,693 | $685K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,693 | $685K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 4,121 | $2.0M |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 779 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,921 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.