| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GERMAN AMERICAN INSURANCE, INC.3 | PO BOX 1008 JASPER, IN 47547 | ANTHEM INSURANCE COMPANIES, INC. | $14K | — | $14K | 2.04% |
| GERMAN AMERICAN INSURANCE, INC.3 | 518 EAST MAIN ST PETERSBURG, IN 47567 | ANTHEM INSURANCE COMPANIES, INC. | $6K | — | $6K | 0.82% |
| GERMAN AMERICAN INSURANCE, INC.3 | PO BOX 1008 JASPER, IN 47547 | AMERICAN UNITED LIFE INSURANCE COMPANY | $8K | — | $8K | 6.65% |
| GERMAN AMERICAN INSURANCE, INC.3 | PO BOX 1008 JASPER, IN 47547 | HEALTH RESOURCES INC. | $4K | — | $4K | 9.92% |
| JAMES R STROSNIDER3 Filed as: JAMES R. STROSNIDER | 704 SE 11TH STREET WASHINGTON, IN 47501 | AFLAC | $896 | $106 | $1K | 3.21% |
| ROBERT D WAKE3 Filed as: ROBERT D. WAKE | PO BOX 87 WASHINGTON, IN 47501 | AFLAC | $772 | — | $772 | 2.47% |
| MICHAEL MOORE3 | 1705 HONEYBROOK LN SAINT LOUIS, MO 63138 | AFLAC | $439 | $108 | $547 | 1.75% |
| LAWRENCE D. LONG3 | 144 PINEVIEW DRIVE VINCENNES, IN 47591 | AFLAC | $480 | — | $480 | 1.54% |
| LAUREL A SEGER3 | 902 A MAIN STREET JASPER, IN 47546 | AFLAC | $454 | $21 | $475 | 1.52% |
| HASTINGS WILLIAMS AGENCY, INC.3 Filed as: HASTINGS WILLIAMS AGCY | PO BOX 2310 WASHINGTON, IN 47501 | AFLAC | $238 | — | $238 | 0.76% |
| CHRIS A GEHLHAUSEN3 Filed as: CHRIS GEHLHAUSEN | 5401 VOGEL RD, STE 410 EVANSVILLE, IN 47715 | AFLAC | $210 | $0 | $210 | 0.67% |
| BRANDEE L JUSTUS3 | 5700 VICTORIA BLUFFS DR NEWBURGH, IN 47630 | AFLAC | $177 | $21 | $198 | 0.63% |
| JARREN BELT3 | 1795 CLARKSON RD STE 301 CHESTERFIELD, MO 63017 | AFLAC | $121 | $22 | $143 | 0.46% |
| BRADLEY T VANDEGRIFFE3 | 17934 HOMESTEAD BLUFFS DR WILDWOOD, MO 63005 | AFLAC | $75 | $22 | $97 | 0.31% |
| CHRIS A GEHLHAUSEN3 | 873 3RD AVE JASPER, IN 47546 | AFLAC | $42 | — | $42 | 0.13% |
| LLOYD W HUGHES3 | 3775 N STATE ROAD 52 LEBANON, IN 46052 | AFLAC | $39 | — | $39 | 0.12% |
| JOHN D TYLER3 | 130 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $35 | — | $35 | 0.11% |
| JEREMY BROCKMAN3 | 324 FAIRWAY BLVD PANAMA CITY BEACH, FL 32407 | AFLAC | $34 | — | $34 | 0.11% |
| SHARON R LUCARELLI3 | 12725 BENNINGTON COMMON LN SAINT LOUIS, MO 63146 | AFLAC | $24 | — | $24 | 0.08% |
| JAMES M FLETCHER3 Filed as: JAMES M. FLETCHER | 254 JOHN STREET AURORA, IN 47001 | AFLAC | $23 | — | $23 | 0.07% |
| GEISLER INCORPORATED3 | 1795 CLARKSON RD STE 301 CHESTERFIELD, MO 63017 | AFLAC | $20 | — | $20 | 0.06% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB R FLOYDS KNOBS, IN 47119 | AFLAC | $18 | — | $18 | 0.06% |
| JEREMY GEISLER INC3 | 1795 CLARKSON RD STE 301 CHESTERFIELD, MO 63017 | AFLAC | $17 | — | $17 | 0.05% |
| MATTHEW A COOK3 | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $12 | — | $12 | 0.04% |
| KORY L ALBRECHT3 | 5 ANNA DRIVE ST CHARLES, MO 63304 | AFLAC | $11 | — | $11 | 0.04% |
| BRADLEY K HARRISON3 | 3432 W TRUMAN BLVD JEFFERSON CITY, MO 65109 | AFLAC | $10 | — | $10 | 0.03% |
| JOHN TYLER & ASSOCIATES3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $9 | — | $9 | 0.03% |
| JOHN T CLANCY3 | 4025 PETE DYE BLVD CARMEL, IN 46033 | AFLAC | $7 | — | $7 | 0.02% |
| MARK A WOJDA3 | 631 GREENFORD TRL W CARMEL, IN 46032 | AFLAC | $7 | — | $7 | 0.02% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DR CARMEL, IN 46033 | AFLAC | $6 | — | $6 | 0.02% |
| AMY N GEHLHAUSEN3 Filed as: AMY N GELHAUSEN | 3115 HOWARD DR JASPER, IN 47546 | AFLAC | $5 | — | $5 | 0.02% |
| TYSON C FUNK3 | 917 CROWN POINTE TERRACE CT WILDWOOD, MO 63021 | AFLAC | $3 | — | $3 | 0.01% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | $3 | — | $3 | 0.01% |
| JOHN A BACON3 | 13716 PARKHILL OVERLAND PARK, KS 66221 | AFLAC | $2 | — | $2 | 0.01% |
| AUSTIN J PETERSON3 | 11116 AURORA AVE URBANDALE, IA 50322 | AFLAC | $2 | — | $2 | 0.01% |
| NATHAN L HARRISON3 | 16024 MANCHESTER RD,2ND FL STE 200 ELLISVILLE, MO 63011 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFREY HIMMELRICK3 | 2215 W A STREET NORTH PLATTE, NE 69101 | AFLAC | $1 | — | $1 | 0.00% |
| DAYTON LLC3 | 324 OLD WOOD DR COLUMBIA, SC 29212 | AFLAC | $1 | — | $1 | 0.00% |
| JOHN MYERS3 | 81 GRAND MERIDIEN FRST CHESTERFIELD, MO 63005 | AFLAC | $1 | — | $1 | 0.00% |
| BRIAN D NEUNER3 | 7651 E HIGHWAY WW COLUMBIA, MO 65201 | AFLAC | $1 | — | $1 | 0.00% |
| GERMAN AMERICAN INSURANCE, INC.3 | PO BOX 1008 JASPER, IN 475471008 | VISION SERVICE PLAN | $725 | — | $725 | 7.63% |
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 | 162 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 84 | $688K |
| Dental | HEALTH RESOURCES INC. | 82 | $45K |
| Vision | VISION SERVICE PLAN | 65 | $10K |
| Life insurance(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 161 | $156K |
| Short-term disability(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 161 | $156K |
| Long-term disability(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 161 | $156K |
| Other(2 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 161 | $156K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 161 | — |
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.