| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUNTINGTON INSURANCE INC3 | 41 SOUTH HIGH STREET COLUMBUS, OH 43215 | ANTHEM INSURANCE COMPANIES, INC. | $33K | — | $33K | 2.16% |
| INDY CHAMBER LLC3 | 111 MONUMENT CIRCLE STE 1950 INDIANAPOLIS, IN 46204 | ANTHEM INSURANCE COMPANIES, INC. | $783 | — | $783 | 0.05% |
| HUNTINGTON INSURANCE INC3 | 121 N MARKET ST WOOSTER, OH 44691 | GUARDIAN | $20K | $5K | $24K | 17.46% |
| MELANIE CUNY3 | 7148 N CHELMSFORD DR MCCORDSVILLE, IN 46055 | AFLAC | $2K | — | $2K | 9.49% |
| KITTE L ALLEN3 | 8180 RONDA DR N CHARLESTON, SC 29406 | AFLAC | $765 | — | $765 | 4.10% |
| HEATHER POWELL3 | 12618 SLIPPERY ROCK RD INDIANAPOLIS, IN 46236 | AFLAC | $357 | — | $357 | 1.92% |
| RICK MCPHERSON3 | 6352 MARBURN DR INDIANAPOLIS, IN 46227 | AFLAC | $350 | — | $350 | 1.88% |
| ASHLEY LYNN SHAW3 | 1163 ESTANCIA WOODS LOOP STE 100 WINDERMERE, FL 34786 | AFLAC | $115 | — | $115 | 0.62% |
| CANDACE Y HILDEBRAN3 | 1084 KNOLL CT GREENWOOD, IN 46143 | AFLAC | $75 | — | $75 | 0.40% |
| RETTENMUND INSURANCE LLC3 | S7991 DENZER RD NORTH FREEDOM, WI 53951 | AFLAC | $40 | — | $40 | 0.21% |
| PETER J EMMERT3 | 5904 OAKFORGE LN INDIANAPOLIS, IN 46254 | AFLAC | $23 | — | $23 | 0.12% |
| MICHAEL BEX3 | 4401 RIVERWALK DR NORTH CHARLESTON, SC 29405 | AFLAC | $16 | — | $16 | 0.09% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DR CARMEL, IN 46033 | AFLAC | $12 | — | $12 | 0.06% |
| KRISTIN SWISHER-MCFADDEN3 | 1820 W CANNING DR MOUNT PLEASANT, SC 29466 | AFLAC | $10 | — | $10 | 0.05% |
| KATTE L HANNER3 | 6378 DEERSTAND RD GREENWOOD, IN 46143 | AFLAC | $9 | — | $9 | 0.05% |
| BRITT F PARK3 | PO BOX 14 WENTZVILLE, MO 63385 | AFLAC | $4 | — | $4 | 0.02% |
| LLOYD W HUGHES3 | 3775 N STATE ROAD 52 LEBANON, IN 46052 | AFLAC | $3 | — | $3 | 0.02% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB RD FLOYDS KNOBS, IN 47119 | AFLAC | $3 | — | $3 | 0.02% |
| JON J SCHAEFER3 | 7352 W BEYERS CT NEW PALESTINE, IN 46163 | AFLAC | $1 | — | $1 | 0.01% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | $1 | — | $1 | 0.01% |
| MATTHEW A COOK3 | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $1 | — | $1 | 0.01% |
| JAMES M FLETCHER3 | 7325 CLUBHOUSE DR FORT WAYNE, IN 46835 | AFLAC | $1 | — | $1 | 0.01% |
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 | 110 | 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) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 177 | $1.5M |
| Dental(2 contracts, 2 carriers) | ANTHEM INSURANCE COMPANIES, INC. | 177 | $1.7M |
| Vision(2 contracts, 2 carriers) | ANTHEM INSURANCE COMPANIES, INC. | 177 | $1.7M |
| Life insurance | GUARDIAN | 110 | $140K |
| Short-term disability | GUARDIAN | 110 | $140K |
| Long-term disability | GUARDIAN | 110 | $140K |
| Other(2 contracts, 2 carriers) | GUARDIAN | 110 | $159K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 177 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.