| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GREGORY & APPEL, INC.3 Filed as: GREGORY & APPEL INSURANCE | 1402 N CAPITOL STE 400 INDIANAPOLIS, IN 46202 | HEALTH RESOURCES, INC. | $16K | — | $16K | 7.00% |
| GREGORY & APPEL, INC.3 Filed as: GREGORY & APPEL INSURANCE | 1402 N CAPITOL STE 400 INDIANAPOLIS, IN 46202 | STANDARD INSURANCE COMPANY | $11K | — | $11K | 8.10% |
| NATIONAL BENEFIT CENTER3 Filed as: NATIONAL BENEFIT CENTER LLC | 6830 COCHRAN ROAD SOLON, OH 44139 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 1.87% |
| GREGORY & APPEL, INC.3 Filed as: GREGORY & APPEL INSURANCE | 1402 N CAPITOL STE 400 INDIANAPOLIS, IN 46202 | HEALTH RESOURCES, INC. | $6K | — | $6K | 7.00% |
| GREGORY & APPEL, INC.3 Filed as: GREGORY & APPEL INSURANCE | 1402 N CAPITOL STE 400 INDIANAPOLIS, IN 46202 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $5K | — | $5K | 9.16% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $429K |
| OPTUMRX, INC. EIN 33-0441200 PHARMACY BENEFIT MANAGEME | Other fees; Float revenue; Direct payment from the plan; Claims processing Service code 12 | — | $73K |
| TRUE RX MANAGEMENT SERVICES EIN 26-0502364 CLAIMS PROCESSING | Claims processing Service code 12 | — | $33K |
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 | 761 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 19 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 785 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | HEALTH RESOURCES, INC. | 386 | $311K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 499 | $59K |
| Life insurance | STANDARD INSURANCE COMPANY | 761 | $133K |
| Long-term disability | STANDARD INSURANCE COMPANY | 752 | $322K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE CORPORATION | 645 | $688K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 761 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.