| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUNTINGTON INSURANCE INC3 | 37 W BROAD STREET COLUMBUS, OH 43215 | ANTHEM INSURANCE COMPANIES, INC. | $32K | — | $32K | 2.35% |
| INDY CHAMBER LLC3 | 111 MONUMENT CIRCLE STE 1950 INDIANAPOLIS, IN 46204 | ANTHEM INSURANCE COMPANIES, INC. | $754 | — | $754 | 0.06% |
| HUNTINGTON INSURANCE INC3 | 37 W BROAD STREET COLUMBUS, OH 43215 | ANTHEM LIFE INSURANCE COMPANY | $10K | — | $10K | 13.00% |
| ALLEN KITTE3 | 8180 RONDA DR N CHARLESTON, SC 29406 | AFLAC | $2K | $144 | $2K | 9.95% |
| ALLEN KITTE3 | 4401 RIVERWALK DR N CHARLESTON, SC 29405 | AFLAC | $850 | — | $850 | 4.29% |
| MELANIE CUNY3 | 7148 N CHELMSFORD DR MCCORDSVILLE, IN 46055 | AFLAC | $726 | $34 | $760 | 3.84% |
| RICK MCPHERSON3 | 6352 MARBURN DR INDIANAPOLIS, IN 46227 | AFLAC | $365 | $34 | $399 | 2.02% |
| ASHLEY LYNN SHAW3 | 603 E WASHINGTON ST STE 100 INDIANAPOLIS, IN 46204 | AFLAC | $146 | — | $146 | 0.74% |
| KRISTIN SWISHER-MCFADDEN3 | 1820 W CANNING DR MOUNT PLEASANT, SC 29466 | AFLAC | $87 | — | $87 | 0.44% |
| CANDACE Y HILDEBRAN3 | 6352 MARBURN DR INDIANAPOLIS, IN 46227 | AFLAC | $86 | — | $86 | 0.43% |
| RETTENMUND INSURANCE LLC3 | S7991 DENZER RD NORTH FREEDOM, WI 53951 | AFLAC | $53 | — | $53 | 0.27% |
| BRITT F PARK3 | 968 HUNTER CHAISE DR WENTZVILLE, MO 63385 | AFLAC | $31 | — | $31 | 0.16% |
| MICHAEL BEX3 | 4401 RIVERWALK DR NORTH CHARLESTON, SC 29405 | AFLAC | $14 | — | $14 | 0.07% |
| JON J SCHAEFER3 | 7352 W BEYERS CT NEW PALESTINE, IA 46163 | AFLAC | $14 | — | $14 | 0.07% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB RD FLOYDS KNOBS, IN 47119 | AFLAC | $13 | — | $13 | 0.07% |
| KATTE L HANNER3 | 6378 DEERSTAND RD GREENWOOD, IN 46143 | AFLAC | $8 | — | $8 | 0.04% |
| LLOYD W HUGHES3 | 3775 N STATE ROAD 52 LEBANON, IN 46052 | AFLAC | $3 | — | $3 | 0.02% |
| MATTHEW A COOK3 | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $3 | — | $3 | 0.02% |
| JOHN T CLANCY3 | 4025 PETE DYE BLVD CARMEL, IN 46033 | AFLAC | $2 | — | $2 | 0.01% |
| MARK A WOJDA3 | 16258 DOGWOOD LN PLYMOUTH, IN 46563 | AFLAC | $2 | — | $2 | 0.01% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | $2 | — | $2 | 0.01% |
| JAMES M FLETCHER3 | 7325 CLUBHOUSE DR FORT WAYNE, IN 46835 | AFLAC | $1 | — | $1 | 0.01% |
| AMY N GEHLHAUSEN3 | 3115 HOWARD DR JASPER, IN 47546 | 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 | 118 | 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) | 118 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 344 | $1.4M |
| Dental | ANTHEM INSURANCE COMPANIES, INC. | 344 | $1.4M |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 344 | $1.4M |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 118 | $77K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 118 | $77K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 118 | $77K |
| Other(2 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 118 | $97K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 344 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.