| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GENERAL INSURANCE SERVICES INC.3 | 421 FRANKLIN ST MICHIGAN CITY, IN 463603326 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $12K | — | $12K | 10.00% |
| GENERAL INSURANCE SERVICES INC.3 | 421 FRANKLIN ST MICHIGAN CITY, IN 463603326 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | — | $4K | 6.12% |
| GENERAL INSURANCE SERVICES INC.3 | 421 FRANKLIN ST MICHIGAN CITY, IN 46360 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 5.50% |
| INNOVATIVE BROKER SOLUTIONS LTD3 | 2813 LEVEN AVE NEW LENOX, IL 60451 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 3.00% |
| GENERAL INSURANCE SERVICES INC.3 | 421 FRANKLIN ST MICHIGAN CITY, IN 46360 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 12.00% |
| INNOVATIVE BROKER SOLUTIONS LTD3 | 2013 LEVEN AVE NEW LENOX, IL 60451 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $1K | $1K | 3.00% |
| GENERAL INSURANCE SERVICES INC.3 | 421 FRANKLIN ST MICHIGAN CITY, IN 463603326 | VISION SERVICE PLAN | $1K | — | $1K | 4.72% |
| GENERAL INSURANCE SERVICES INC.3 | 421 FRANKLIN ST MICHIGAN CITY, IN 46360 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $934 | — | $934 | 6.70% |
| INNOVATIVE BROKER SOLUTIONS LTD3 | 2813 LEVEN AVE NEW LENOX, IL 60451 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $418 | $418 | 3.00% |
| GENERAL INSURANCE SERVICES INC.3 | 421 FRANKLIN ST MICHIGAN CITY, IN 46360 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 15.01% |
| INNOVATIVE BROKER SOLUTIONS LTD3 | 2813 LEVEN AVE NEW LENOX, IL 60451 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $324 | $324 | 3.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 NONE | Contract Administrator; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Float revenue; Other fees Service code 12 | — | $139K |
| EXPRESS SCRIPTS, INC. EIN 31-1714795 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | — | $0 |
| GENERAL INSURANCE SERVICES, INC EIN 35-1164638 NONE | Other commissions; Insurance brokerage commissions and fees; Insurance agents and brokers Service code 22 | — | $0 |
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 | 190 | 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) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNIMERICA INSURANCE COMPANY | 141 | $184K |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 190 | $104K |
| Vision | VISION SERVICE PLAN | 122 | $31K |
| Life insurance(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 190 | $83K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 99 | $44K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 187 | $124K |
| Stop-loss / reinsurancereinsurance | UNIMERICA INSURANCE COMPANY | 141 | $184K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 185 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.