| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCASCIO HADDEN & DENNIS LLC3 | 250 W. 96TH STREET INDIANAPOLIS, IN 46260 | ANTHEM INSURANCE COMPANIES | $5K | $0 | $5K | 0.27% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BLVD CHICAGO, IL 60604 | ANTHEM INSURANCE COMPANIES | $4K | $0 | $4K | 0.22% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 3635 RIVERSIDE PLAZA DR. SUITE 300 RIVERSIDE, CA 92506 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $9K | $0 | $9K | 4.28% |
| LOCASCIO HADDEN & DENNIS LLC3 | 250 W. 96TH STREET SUITE 350 INDIANAPOLIS, IN 46262 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $9K | $0 | $9K | 4.05% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 15162 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $7K | $0 | $7K | 3.13% |
| HUB INTERNATIONAL MIDWEST LIMITED3 | 55 EAST JACKSON BLVD CHICAGO, IL 60604 | DELTA DENTAL OF INDIANA | $2K | $0 | $2K | 1.73% |
| LOCASCIO HADDEN & DENNIS LLC | 10585 N. MERIDIAN ST. SUITE 275 INDIANAPOLIS, IN 46290 | DELTA DENTAL OF INDIANA | $979 | $0 | $979 | 1.03% |
No Schedule C service providers reported on this filing.
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 | 192 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 200 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES | 128 | $1.9M |
| Dental | DELTA DENTAL OF INDIANA | 306 | $95K |
| Vision | VISION SERVICE PLAN | 176 | $29K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 268 | $215K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 268 | $215K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 268 | $215K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 306 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.