| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMWINS5 Filed as: AMWINS GROUP BENEFITS LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | TRANSAMERICA INSURANCE CO. MEDICARE SUPPLEMENT | $77K | — | $77K | 11.54% |
| LOCASCIO HADDEN & DENNIS LLC5 Filed as: LOCASCIO HADDEN & DENNIS, LLC | 250 W. 96TH STREET, SUITE 350 INDIANAPOLIS, IN 462601377 | TRANSAMERICA INSURANCE CO. MEDICARE SUPPLEMENT | $39K | — | $39K | 5.89% |
| AMWINS5 Filed as: AMWINS GROUP BENEFITS LLC | 50 WHITECAP DRIVE NORTH KINGSTOWN, RI 02852 | EXPRESS SCRIPTS, INC. PRESCRIPTION DRUG PLAN | $45K | — | $45K | 11.50% |
| LOCASCIO HADDEN & DENNIS LLC5 Filed as: LOCASCIO HADDEN&DENNIS, LLC | 250 W. 96TH STREET, SUITE 350 INDIANAPOLIS, IN 462601377 | EXPRESS SCRIPTS, INC. PRESCRIPTION DRUG PLAN | $9K | — | $9K | 2.34% |
| LOCASCIO HADDEN & DENNIS LLC3 Filed as: LOCASCIO, HADDEN & DENNIS | JEFF HADDEN 250 W. 96TH ST. SUITE 350 INDIANAPOLIS, IN 46260 | DELTA DENTAL OF INDIANA | $4K | $163 | $4K | 4.57% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AMWINS GROUP INC. TPA | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 4725 PIEDMONT ROW DRIVE SUITE 600 CHARLOTTE, NC 28210 | $170K |
| THE HOWARD E. NYHART CO, INC. ACTUARY/ RECORDKEEPING | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Recordkeeping fees; Actuarial Service code 11 | 8415 ALLISON POINTE SUITE 300 INDIANAPOLIS, IN 46250 | $20K |
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 | 503 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 219 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 722 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRANSAMERICA INSURANCE CO. MEDICARE SUPPLEMENT | 295 | $668K |
| Dental | DELTA DENTAL OF INDIANA | 299 | $91K |
| Prescription drug | EXPRESS SCRIPTS, INC. PRESCRIPTION DRUG PLAN | 295 | $389K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 299 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.