| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FITCH HOYT BENEFITS GROUP3 Filed as: FITCH HOYT BENEFITS GROUP LLC | 60 EAST OAK STREET ZIONSVILLE, IN 46077 | AMERICAN UNITED LIFE INSURANCE COMPANY | $121K | — | $121K | 2.00% |
| FITCH HOYT BENEFITS GROUP3 Filed as: FITCH HOYT BENEFITS GROUP LLC | 60 EAST OAK STREET ZIONSVILLE, IN 46077 | AMERICAN UNITED LIFE INSURANCE COMPANY | $14K | — | $14K | 2.00% |
| GREGORY & APPEL, INC.3 Filed as: GREGORY AND APPEL, INC. | 1402 NORTH CAPITOL, SUITE 400 INDIANAPOLIS, IN 46202 | ACE AMERICAN INSURANCE COMPANY | $46K | — | $46K | 22.14% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 NONE KNOWN | Contract Administrator; Direct payment from the plan; Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue Service code 12 | — | $8.9M |
| ERNST & YOUNG LLP EIN 34-6565596 NONE KNOWN | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $75K |
| ALIGHT SOLUTIONS LLC EIN 82-1061233 NONE KNOWN | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $55K |
| PLANTE & MORAN PLLC EIN 38-1357951 NONE KNOWN | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $32K |
| ELI LILLY AND COMPANY EIN 35-0470950 PLAN SPONSOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $20K |
| THE NORTHERN TRUST COMPANY EIN 36-1561860 NONE KNOWN | Trustee (bank, trust company, or similar financial institution); Float revenue; Custodial (securities); Trustee (directed); Other services; Direct payment from the plan Service code 19 | — | $10K |
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 | 18,344 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 341 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 18,685 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 141 | $2.5M |
| Dental(2 contracts) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 141 | $2.2M |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 28,464 | $3.1M |
| Life insurance(2 contracts) | AMERICAN UNITED LIFE INSURANCE COMPANY | 15,297 | $6.7M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 6 | $8K |
| Prescription drug(3 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 141 | $2.5M |
| Other(3 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 18,344 | $2.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 28,464 | — |
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.