| 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 | $7K | — | $7K | 0.44% |
| ENROLLEASE3 Filed as: FIRST PERSON INC | 9000 KEYSTONE CROSSING SUITE 910 INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES, INC. | $20K | — | $20K | 6.53% |
| ASSURED NEACE LUKENS INS. AGENCY3 Filed as: ASSURED NEACE LUKENS INSURANCE | 2305 RIVER RD LOUISVILLE, KY 40206 | ANTHEM INSURANCE COMPANIES, INC. | — | $3K | $3K | 0.83% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF INDIANA, LLC | 10401 N MERIDIAN ST SUITE 300 INDIANAPOLIS, IN 46290 | ANTHEM INSURANCE COMPANIES, INC. | $6 | — | $6 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 SERVICE PROVIDER | Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Other services; Other fees Service code 12 | 7501 EAGLE CREST BLVD EVANSVILLE, IN 477158151 | $2.3M |
| FIRST PERSON INC EIN 35-0781558 SERVICE PROVIDER | Other commissions; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 9000 KEYSTONE CROSSING STE 910 INDIANAPOLIS, IN 46240 | $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 | 2,262 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 35 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,297 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF INDIANA | 5,740 | $1.5M |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 1,608 | $303K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | QBE INSURANCE | 2,222 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,740 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.