| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: FIRST PERSON INC | 9000 KEYSTONE CROSSING INDIANAPOLIS, IN 46240 | DELTA DENTAL OF INDIANA | $19K | — | $19K | 1.15% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF INDIANA LLC | 10401 N MERIDIAN ST SUITE 300 INDIANAPOLIS, IN 46290 | DELTA DENTAL OF INDIANA | $9K | — | $9K | 0.57% |
| TOBIAS INSURANCE GROUP, INC3 Filed as: TOBIAS INSURANCE GROUP INC | 9247 N MERIDIAN ST SUITE 300 INDIANAPOLIS, IN 46260 | ANTHEM INSURANCE COMPANIES, INC. | $61K | — | $61K | 19.62% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF INDIANA, LLC | 10401 N MERIDIAN ST SUITE 300 INDIANAPOLIS, IN 46290 | ANTHEM INSURANCE COMPANIES, INC. | $48K | — | $48K | 15.49% |
| ENROLLEASE3 Filed as: FIRST PERSON INC | 9000 KEYSTONE CROSSING SUITE 910 INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES, INC. | $2K | — | $2K | 0.79% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 NONE | Contract Administrator; Other services; Float revenue; Claims processing; Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | 7501 EAGLE CREST BLVD EVANSVILLE, IN 477158151 | $4.5M |
| ASSUREDPARTNERS OF INDIANA LLC EIN 35-0781558 | Insurance brokerage commissions and fees; Insurance agents and brokers; Other commissions Service code 22 | 9247 N MERIDIAN ST STE 300 INDIANAPOLIS, IN 46260 | $0 |
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 | 2,370 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 47 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,417 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF INDIANA | 5,716 | $1.6M |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 1,488 | $309K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE | 2,385 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,716 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.