| 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 | $18K | $57K | $75K | 3.50% |
| UMR, INC.3 Filed as: UMR INC | MARY GOSZ MAIL STOP 7320 11 SCOTT STREET, SUITE 100 WAUSAU, WI 54403 | RELIASTAR LIFE INSURANCE COMPANY | — | $64K | $64K | 3.00% |
| LOCASCIO HADDEN & DENNIS LLC3 Filed as: LOCASCIO, HADDEN & DENNIS | JEFF HADDEN 10585 N. MERIDIAN ST., SUITE 275 INDIANAPOLIS, IN 46290 | DELTA DENTAL OF INDIANA | — | $2K | $2K | 0.10% |
| LOCASCIO HADDEN & DENNIS LLC3 Filed as: LOCASCIO, HADDEN & DENNIS | 250 WEST 96TH ST., SUITE 350 INDIANAPOLIS, IN 462601317 | VISION SERVICE PLAN | $11K | — | $11K | 5.00% |
| 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 | — | $670K |
| HARTFORD LIFE AND ACCIDENT EIN 06-0838648 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $400K |
| ANTHEM INSURANCE COMPANIES INC. EIN 35-0781558 NONE | Direct payment from the plan; Contract Administrator; Other fees; Other services; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $186K |
| JODY HIRST NONE | Direct payment from the plan; Other services Service code 49 | 394 VENTANA CT INDIANAPOLIS, IN 46290 | $59K |
| ARCHIMEDES, LLC EIN 81-1158028 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $48K |
| TOWERS WATSON EIN 53-0181291 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $44K |
| THE VISIBILITY COMPANY (PROPEL) EIN 22-3873674 NONE | Other services; Direct payment from the plan Service code 49 | — | $40K |
| QUIZZIFY, LLC EIN 46-5165032 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $27K |
| BKD, LLP EIN 44-0160260 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $25K |
| CVS PHARMACY EIN 05-0340626 NONE | Other services; Claims processing; Contract Administrator; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $25K |
| AMERICAN UNITED LIFE INSURANCE EIN 35-0145825 AFFILIATED ORG | Direct payment from the plan; Claims processing; Participant communication; Contract Administrator Service code 12 | — | $13K |
| EMPLOYERS HEALTH COALITION EIN 34-1403820 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| ST. VINCENT HOSPITAL EIN 35-0869066 NONE | Other fees; Direct payment from the plan Service code 50 | — | $8K |
| YOUNG MEN'S CHRISTIAN ASSOC OF INDP EIN 35-0868211 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $4K |
| YOUNG MENS CHRISTIAN ORG MET MILWAU EIN 39-0806314 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $2K |
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 | 2,327 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 324 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,651 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF INDIANA | 5,066 | $1.7M |
| Vision | VISION SERVICE PLAN | 1,933 | $213K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 2,662 | $1.3M |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,703 | $818K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 1,703 | $818K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 4,229 | $2.1M |
| Other(3 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 2,662 | $2.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,066 | — |
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."
No prospect flags tripped on this filing.