| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN HEALTHCARE GROUP, INC.3 Filed as: AMERICAN HEALTHCARE GROUP INC. | 2920 EAST 96TH STREET SUITE C INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES, INC. | $34K | — | $34K | 1.71% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES - INDIANAPOLIS | 450 EAST 96TH ST. SUITE 275 INDIANAPOLIS, IN 46240 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $23K | — | $23K | 10.00% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES - INDIANAPOLIS | 75 REMITTANCE DR. SUITE 1446 CHICAGO, IL 60675 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $4K | $4K | 1.77% |
| AMERICAN HEALTHCARE GROUP, INC.3 Filed as: AMERICAN HEALTHCARE GROUP INC. | 3939 PRIORITY WAY SOUTH DR. INDIANAPOLIS, IN 46240 | DELTA DENTAL OF INDIANA | $18K | $490 | $19K | 14.08% |
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 | 192 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 320 | $2.0M |
| Dental | DELTA DENTAL OF INDIANA | 281 | $134K |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 320 | $2.0M |
| Life insurance(2 contracts, 2 carriers) | ANTHEM INSURANCE COMPANIES, INC. | 320 | $2.2M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 196 | $230K |
| Other(2 contracts, 2 carriers) | ANTHEM INSURANCE COMPANIES, INC. | 320 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 320 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.