| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYLANT GROUP INC3 | 6714 POINTE INVERNESS WAY, STE 100 FORT WAYNE, IN 46804 | ANTHEM INSURANCE COMPANIES, INC | $57K | $0 | $57K | 2.54% |
| HYLANT GROUP INC3 | 811 MADISON AVE TOLEDO, OH 436045684 | PRINCIPAL LIFE INSURANCE COMPANY | $12K | $2K | $14K | 9.30% |
| EUGENE BLACKMON3 | 5702 EVARD ROAD FORT WAYNE, IN 468350000 | AFLAC | $3K | $7 | $3K | 3.98% |
| DONALD E SPRINGER3 Filed as: DONALD E. SPRINGER | 5715 RIVER RUN TRL FORT WAYNE, IN 46825 | AFLAC | $1K | $22 | $1K | 1.34% |
| JANICE STANSKI3 | 4001 HIGHWOOD DR. FORT WAYNE, IN 46815 | AFLAC | $1K | $0 | $1K | 1.28% |
| JEFFREY D HARNED3 Filed as: JEFFREY HINES | 6225 SUGAR TREE PL FORT WAYNE, IN 46835 | AFLAC | $614 | $65 | $679 | 0.85% |
| SUE E. JOHNSON3 Filed as: SUE E JOHNSON | PO BOX 155 WOLF LAKE, IN 46796 | AFLAC | $514 | $0 | $514 | 0.64% |
| NICHOLAS E VIGIL3 Filed as: NICHOLAS SHIPE | 11037 BROADWAY STE C CROWN POINT, IN 46307 | AFLAC | $492 | $6 | $498 | 0.62% |
| IMELDA YOUNGBERG3 | 5176 BELLA COLLIMA ST OCEANSIDE, CA 92056 | AFLAC | $416 | $0 | $416 | 0.52% |
| DAVID R KREMER3 | 2150 ASSOCIATION DR STE. 150 OKEMOS, MI 48864 | AFLAC | $378 | $0 | $378 | 0.47% |
| MICHELLE L SEXTON3 | 220 INSURANCE DR. STE. A FORT WAYNE, IN 46825 | AFLAC | $364 | $0 | $364 | 0.45% |
| JUSTIN E FINTON3 Filed as: JUSTIN E. FINTON | 112 S ANDERSON ST. ELWOOD, IN 46036 | AFLAC | $284 | $0 | $284 | 0.35% |
| ROBERT J LAWRENCE3 Filed as: ROBERT LAWRENCE | 1902 GILMORE DR FORT WAYNE, IN 46818 | AFLAC | $151 | $12 | $163 | 0.20% |
| JERRY W MACHAMER3 | 1405 CURDES AVENUE FORT WAYNE, IN 46805 | AFLAC | $160 | $0 | $160 | 0.20% |
| HAROLD/HUGHES INSURANCE3 | 3775 NORTH US 52 LEBANON, IN 46052 | AFLAC | $153 | $0 | $153 | 0.19% |
| CHARLES L GRAY3 | 3122 MARIAS DR. FORT WAYNE, IN 46815 | AFLAC | $142 | $0 | $142 | 0.18% |
| JONATHAN DAVID BESWARICK3 Filed as: JONATHAN BESWARICK | 220 INSURANCE DR FORT WAYNE, IN 46825 | AFLAC | $93 | $19 | $112 | 0.14% |
| JEREMY JAY JOHNSON3 Filed as: JEREMY J. JOHNSON | 7263 BRAXTON DRIVE NOBLESVILLE, IN 46062 | AFLAC | $99 | $0 | $99 | 0.12% |
| HEALTH INSURANCE SHOP, INC.3 | 3609 LAKE AVE FORT WAYNE, IN 46805 | AFLAC | $88 | $0 | $88 | 0.11% |
| KEITH MAURICE CASTILLO3 | 15813 NORTH 110TH AVE SUN CITY, AZ 85351 | AFLAC | $40 | $0 | $40 | 0.05% |
| NAVILLE & ASSOCIATES3 | 14220 OVERBROOK DR CARMEL, IN 46074 | AFLAC | $37 | $0 | $37 | 0.05% |
| MARSHA HUGHES3 | 3775 N STATE ROAD 52 LEBANON, IN 46052 | AFLAC | $36 | $0 | $36 | 0.04% |
| DIANN KRZCIOK3 | 2682 GRAND FORKS RD HENDERSON, NV 89052 | AFLAC | $33 | $0 | $33 | 0.04% |
| DOUGLAS FOX3 | 735 S GARFIELD AVE SUITE 203 TRAVERSE CITY, MI 49686 | AFLAC | $33 | $0 | $33 | 0.04% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN GLAUB | 54369 30TH ST SOUTH BEND, IN 46635 | AFLAC | $29 | $0 | $29 | 0.04% |
| JACQUELINE CASTRO3 | 100 WALL ST., FL 28 NEW YORK, NY 10005 | AFLAC | $28 | $0 | $28 | 0.03% |
| BRIAN W PATTEN3 Filed as: BRIAN PATTEN | 120 MARGUERITE DR, STE 101 CRANBERRY TOWNSHIP, PA 16066 | AFLAC | $28 | $0 | $28 | 0.03% |
| TODD DEVOSS3 | 321 N CLARK ST., STE 625 CHICAGO, IL 60654 | AFLAC | $28 | $0 | $28 | 0.03% |
| JOSEPH P CALARCO3 Filed as: JOSEPH NASCA | 28081 W MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $28 | $0 | $28 | 0.03% |
| JOHN H. THOMPSON3 | 4602 NEWAYGO RD FORT WAYNE, IN 46808 | AFLAC | $19 | $0 | $19 | 0.02% |
| BRADLEY K HARRISON3 Filed as: BRADLEY K. HARRISON | 3432 W TRUMAN BLVD JEFFERSON CITY, MO 65109 | AFLAC | $19 | $0 | $19 | 0.02% |
| CARL MCKELLAR3 | 5530 CROSSPOND SAN ANTONIO, TX 78249 | AFLAC | $17 | $0 | $17 | 0.02% |
| DANNY R. OSTER3 Filed as: DANNY WHITMIRE | 16474 PRETTY VIEW DR PLYMOUTH, IN 46563 | AFLAC | $12 | $0 | $12 | 0.01% |
| VITO DOMINIC PALUMBO3 | 17214 AMSTUTZ RD LEO, IN 46765 | AFLAC | $11 | $0 | $11 | 0.01% |
| MATTHEW NACHAZEL3 | 16474 BAYWOOD LN GRANGER, IN 46530 | AFLAC | $7 | $0 | $7 | 0.01% |
| MATTHEW G BERGER3 Filed as: MATTHEW COOK | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $7 | $0 | $7 | 0.01% |
| CAROL PURDY FIELDS3 Filed as: CAROL THOMPSON | 51717 SUMMER WOOD CT GRANGER, IN 46530 | AFLAC | $6 | $0 | $6 | 0.01% |
| ANGELA R CONDON3 Filed as: ANGELA CONDON | PO BOX 820 ROCHESTER, IN 46975 | AFLAC | $6 | $0 | $6 | 0.01% |
| JOHN W COURT3 Filed as: JOHN W. COURT | 11206 SHALIMER DRIVE FORT WAYNE, IN 46845 | AFLAC | $5 | $0 | $5 | 0.01% |
| JOHN T CLANCY3 Filed as: JOHN CLANCY | 4025 PETE DYE BLVD CARMEL, IN 46033 | AFLAC | $4 | $0 | $4 | 0.00% |
| MARK A WOJDA3 Filed as: MARK WOJDA | 631 GREENFORD TRL W CARMEL, IN 46032 | AFLAC | $4 | $0 | $4 | 0.00% |
| ASSUREDPARTNERS3 Filed as: JENNIFER MITCHEN | 9247 N MERIDIAN ST.,STE 205 INDIANAPOLIS, IN 46260 | AFLAC | $3 | $0 | $3 | 0.00% |
| AMY E COHEN3 Filed as: AMY GEHLHAUSEN | 3115 HOWARD DR JASPER, IN 47546 | AFLAC | $3 | $0 | $3 | 0.00% |
| CARRIE S FLATEN3 Filed as: CARRIE SCHRAMM | 10418 PRETTY LAKE TRL PLYMOUTH, IN 46563 | AFLAC | $2 | $0 | $2 | 0.00% |
| BRIANNA LYNN ROWE3 Filed as: BRIANNA ROWE | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | $1 | $0 | $1 | 0.00% |
No Schedule C service providers reported on this filing.
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 | 250 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC | 193 | $2.3M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 250 | $151K |
| Vision(2 contracts, 2 carriers) | ANTHEM INSURANCE COMPANIES, INC | 250 | $2.4M |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 250 | $151K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 250 | $151K |
| Long-term disability | AFLAC | 99 | $80K |
| Other | AFLAC | 99 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 250 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.