| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| J.D. RESLEY ASSOCIATES INC3 Filed as: J D RESLEY ASSOCIATES INC | 8900 KEYSTONE CROSSING STE 560 INDIANAPOLIS, IN 46240 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $913 | $5K | 5.48% |
| JOHN DAVID RESLEY3 Filed as: JOHN RESLEY | 8900 KEYSTONE CROSSING SUITE 560 INDIANAPOLIS, IN 46240 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 12.11% |
| JD RESLEY ASSOCIATES INC3 | 8900 KEYSTONE CROSSING SUITE 560 INDIANAPOLIS, IN 46240 | HUMANA INSURANCE COMPANY | $1K | — | $1K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 MED RX ADMIN | Float revenue; Other fees; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $427K |
| USI INS SERVICES LLC NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Other commissions Service code 22 | 201 ALHAMBRA CIRCLE SUITE 801 CORAL GABLES, FL 33134 | $0 |
| INGENIORX, INC. EIN 82-3062245 RX ADMIN | Other services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | -$16K |
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 | 305 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 306 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 264 | $90K |
| Vision | HUMANA INSURANCE COMPANY | 196 | $29K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 305 | $34K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 305 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 305 | — |
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.