| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LHS SUB, INC.5 | 211 COMMERCE STREET, SUITE 601 NASHVILLE, TN 37201 | HCC LIFE INSURANCE COMPANY | $3K | — | $3K | 0.85% |
| NORTH AMERICA ADMINISTRATORS, LP5 Filed as: NORTH AMERICA ADMINISTRATORS L.P. | 1826 ELM HILL PIKE NASHVILLE, TN 37210 | HCC LIFE INSURANCE COMPANY | $490 | — | $490 | 0.15% |
| DIMENSION BENEFITS LLC3 | 4955 KERRINGTON BLVD BARGERSVILLE, IN 461068310 | TRANSAMERICA LIFE INSURANCE COMPANY | $257 | — | $257 | 1.28% |
| MICHAEL J REYNOLDS3 | 4640 E QUIVIRA DR TUCSON, AZ 85718 | TRANSAMERICA LIFE INSURANCE COMPANY | $201 | — | $201 | 1.00% |
| THE HEALY GROUP INC.3 | 53800 GENERATION DRIVE SOUTH BEND, IN 46635 | TRANSAMERICA LIFE INSURANCE COMPANY | $85 | — | $85 | 0.42% |
| JEFFREY L WHISLER3 | 126 1/2 S. MAIN STREET ELKHART, IN 465163122 | TRANSAMERICA LIFE INSURANCE COMPANY | $72 | — | $72 | 0.36% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $304 | $2K | 12.73% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $2K | $4K | 26.49% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC. | 175 SOUTH THIRD ST. SUITE 800 COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $86 | $86 | 0.64% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $872 | $2K | 25.00% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC. | 175 SOUTH THIRD ST. SUITE 800 COLUMBUS, OH 43215 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $51 | $51 | 0.59% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTH AMERICAN ADMINISTRATORS EIN 65-0851406 TPA | Contract Administrator Service code 13 | P.O. BOX 1984 NASHVILLE, TN 37202 | $445K |
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 | 533 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 533 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 238 | $33K |
| Life insurance(2 contracts, 2 carriers) | TRANSAMERICA LIFE INSURANCE COMPANY | 533 | $34K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 40 | $9K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 137 | $13K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 243 | $326K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 533 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 533 | — |
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.