| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCASCIO HADDEN & DENNIS LLC3 Filed as: LOCASCIO HADDEN & DENNIS, LLC | 250 WEST 96TH ST., SUITE 350 INDIANAPOLIS, IN 46260 | RELIASTAR LIFE INSURANCE COMPANY | $9K | $57K | $66K | 3.12% |
| LOCASCIO HADDEN & DENNIS LLC3 Filed as: LOCASCIO, HADDEN & DENNIS | JEFF HADDEN 10585 N. MERIDIAN ST., SUITE 275 INDIANAPOLIS, IN 46290 | DELTA DENTAL OF INDIANA | — | $8K | $8K | 0.50% |
| LOCASCIO HADDEN & DENNIS LLC3 Filed as: LOCASCIO, HADDEN & DENNIS | 250 WEST 96TH ST., SUITE 350 INDIANAPOLIS, IN 462601317 | VISION SERVICE PLAN | $10K | — | $10K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES INC. EIN 35-0781558 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator; Other services; Float revenue; Other fees; Direct payment from the plan Service code 12 | — | $1.4M |
| OURHEALTH, LLC EIN 27-1353079 NONE | Other services; Direct payment from the plan Service code 49 | — | $1.1M |
| HARTFORD LIFE AND ACCIDENT EIN 06-0838648 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $412K |
| JODY HIRST NONE | Direct payment from the plan; Other services Service code 49 | 394 VENTANA CT INDIANAPOLIS, IN 46290 | $49K |
| ARCHIMEDES, LLC EIN 81-1158028 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $48K |
| THE VISIBILITY COMPANY (PROPEL) EIN 22-3873674 NONE | Other services; Direct payment from the plan Service code 49 | — | $39K |
| TOWERS WATSON EIN 53-0181291 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $36K |
| WEST HEALTH ADVOCATE SOLUTIONS INC. EIN 23-3080019 NONE | Other services; Direct payment from the plan Service code 49 | — | $30K |
| QUIZZIFY, LLC EIN 46-5165032 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $26K |
| CVS PHARMACY EIN 05-0340626 NONE | Direct payment from the plan; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Other services Service code 12 | — | $23K |
| BKD, LLP EIN 44-0160260 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $21K |
| TRUELIFECARE, LLC EIN 45-4924871 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $18K |
| AMERICAN UNITED LIFE INSURANCE EIN 35-0145825 AFFILIATED ORG | Contract Administrator; Direct payment from the plan; Participant communication; Claims processing Service code 12 | — | $13K |
| ST. VINCENT HOSPITAL EIN 35-0869066 NONE | Other fees; Direct payment from the plan Service code 50 | — | $12K |
| EMPLOYERS HEALTH COALITION EIN 34-1403820 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| LABORATORY CORP OF AMERICA EIN 13-3757370 NONE | Direct payment from the plan; Other services Service code 49 | — | $7K |
| YOUNG MEN'S CHRISTIAN ASSOC OF INDP EIN 35-0868211 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $6K |
| YOUNG MENS CHRISTIAN ORG MET MILWAU EIN 39-0806314 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $5K |
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 | 2,235 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 294 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,529 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HARTFORD LIFE AND ACCIDENT | 7 | $23K |
| Dental | DELTA DENTAL OF INDIANA | 4,984 | $1.7M |
| Vision | VISION SERVICE PLAN | 1,850 | $207K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 2,585 | $1.3M |
| Short-term disability(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,676 | $801K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,676 | $801K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 4,112 | $2.1M |
| Other(3 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 2,585 | $2.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,984 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.