| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PINNACLE ADVISORY GROUP OF INDIANA3 Filed as: PINNACLE ADVISORY GROUP | 131 E HIGH ST LAWRENCEBURG, IN 47205 | MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO | $661 | — | $661 | 4.21% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDICAL BENEFITS ADMINISTRATORS INC EIN 31-4210910 CONTRACT | Plan Administrator Service code 14 | 1975 TAMARACK RD NEWARK, OH 43055 | $68K |
| PINNACLE ADVISORY GROUP EIN 35-1994457 BROKER | Insurance agents and brokers Service code 22 | 131 E HIGH ST LAWRENCEBURG, IN 47025 | $44K |
| COMPASS RISK PARTNERS LLC EIN 57-3004623 BROKER | Insurance agents and brokers Service code 22 | 1975 TAMARACK RD NEWARK, OH 43055 | $10K |
| SAGAMORE HEALTH NETWORK INC EIN 35-1641636 CONTRACT | Other fees Service code 99 | 11595 N MERIDIAN STREET, STE 600 CARMEL, IN 46032 | $6K |
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 | 155 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 155 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO | 155 | $16K |
| Stop-loss / reinsurancereinsurance | THE NORTH RIVER INSURANCE COMPANY | 155 | $1.7M |
| Other | MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO | 155 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 155 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
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.