| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: FIRST PERSON BENEFIT ADVISORS | 9000 KEYSTONE CROSSINGS STE 910 INDIANAPOLIS, IN 46240 | GUARDIAN LIFE INS CO OF AMERICA | $10K | $4K | $13K | 22.53% |
| JOHN RICHARD DURBIN3 | 4537 ANGELICA DRIVE INDIANAPOLIS, IN 46237 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $7 | $1K | 5.95% |
| FINANCIAL CENTER SERVICES LLC3 | 7101 EAST 56TH STREET INDIANAPOLIS, IN 46226 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $760 | — | $760 | 3.35% |
| SUSAN DENZIO3 | P. O. BOX 243 WHITELAND, IN 46184 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $490 | — | $490 | 2.16% |
| DOROTHY A. LAJOIE3 | 10803 ZIMMERMAN LANE INDIANAPOLIS, IN 46231 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $198 | — | $198 | 0.87% |
| CAROL A CUTTER3 Filed as: CAROL A. CUTTER | 624 GRIFFIN ROAD INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $196 | — | $196 | 0.87% |
| BRANDON TYLER LYNN3 | 7532 JENISON DRIVE INDIANAPOLIS, IN 46217 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $85 | $50 | $135 | 0.60% |
| PARRISH J PEACHEE3 Filed as: PARRISH J. PEACHEE | 201 WEST 103RD STREET INDIANAPOLIS, IN 46290 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $94 | $25 | $119 | 0.53% |
| JEFFREY D BRINDLE3 Filed as: JEFFREY D. BRINDLE | 10811 LAKEVIEW DRIVE CARMEL, IN 46033 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $30 | $9 | $39 | 0.17% |
| RONALD W HATOWAY3 Filed as: RONALD W. HATOWAY | P. O. BOX 467 NEW PALESTINE, IN 46163 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $34 | — | $34 | 0.15% |
| VOLUNTARY BENEFITS SOL LLC3 Filed as: VOLUNTARY BENEFIT SOLUTIONS INC. | P. O. BOX 159 BEDFORD, IN 47421 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $34 | — | $34 | 0.15% |
| DEWEY L ERWIN3 Filed as: DEWEY L. ERWIN | 11133 OAKSPRING COURT INDIANAPOLIS, IN 46239 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.08% |
| ENROLLEASE3 Filed as: FIRST PERSON INC | 9000 KEYSTONE CROSSING STE 910 INDIANAPOLIS, IN 46240 | FIDELITY SECURITY LIFE INS CO | $914 | — | $914 | 10.06% |
| ENROLLEASE3 Filed as: FIRST PERSON INC. | 9000 KEYSTONE CROSSING, STE 910 INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES, INC. | $52 | — | $52 | 1.92% |
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 | 102 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 102 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 102 | $3K |
| Dental | GUARDIAN LIFE INS CO OF AMERICA | 118 | $58K |
| Vision | FIDELITY SECURITY LIFE INS CO | 167 | $9K |
| Life insurance(2 contracts, 2 carriers) | GUARDIAN LIFE INS CO OF AMERICA | 118 | $81K |
| Long-term disability | GUARDIAN LIFE INS CO OF AMERICA | 118 | $58K |
| Other | GUARDIAN LIFE INS CO OF AMERICA | 118 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 167 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.