| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP | 3755 EAST 82ND STREET SUITE 100 INDIANAPOLIS, IN 46240 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $18K | $113 | $18K | 20.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 2 PIERCE PLACE FLOOR 21 ITASCA, IL 60143 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | — | $478 | $478 | 0.53% |
| GREGORY & APPEL, INC.3 Filed as: GREGORY & APPEL INC. | 1402 NORTH CAPITOL AVENUE SUITE 400 INDIANAPOLIS, IN 46202 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | -$52 | — | -$52 | -0.06% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC. | 3755 EAST 82ND STREET SUITE 100 INDIANAPOLIS, IN 46240 | VISION SERVICE PLAN | $1K | — | $1K | 1.74% |
| GREGORY & APPEL, INC.3 | 1402 NORTH CAPITOL AVENUE SUITE 400 INDIANAPOLIS, IN 46202 | VISION SERVICE PLAN | $921 | — | $921 | 1.21% |
| J L BASS & ASSOCIATES3 Filed as: J.L. BASS AND ASSOCIATES INC. | 6558 OLIVE BRANCH LANE INDIANAPOLIS, IN 46237 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 7.39% |
| MICHAEL DUANE ARNOLD3 Filed as: MICHAEL D ARNOLD | 8604 ALLISONVILLE ROAD INDIANAPOLIS, IN 46250 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 2.69% |
| BRYAN W HARPER3 | 921 YELLOW PINE COURT INDIANAPOLIS, IN 46241 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.08% |
| ROBERT W BURGETT3 | 2601 FORTUNE CIRCLE EAST SUITE 103A INDIANAPOLIS, IN 46241 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.72% |
| MARSHA S TALLEY3 | 5401 NORTH VOGEL ROAD SUITE 410 EVANSVILLE, IN 47715 | CONTINENTAL AMERICAN INSURANCE COMPANY | $921 | — | $921 | 1.37% |
| HOLLY L MOSS3 | 1165 WESTHAVEN BOULEVARD FRANKLIN, TN 37064 | CONTINENTAL AMERICAN INSURANCE COMPANY | $582 | — | $582 | 0.86% |
| KATIE MALISSA URAN3 | 218 SHERIDAN STREET CROWN POINT, IN 46307 | CONTINENTAL AMERICAN INSURANCE COMPANY | $407 | — | $407 | 0.60% |
| PAMELA ROWSEY LARSON3 Filed as: PAMELA R LARSON | 801 LAUDERDALE DRIVE LEXINGTON, KY 40515 | CONTINENTAL AMERICAN INSURANCE COMPANY | $387 | — | $387 | 0.57% |
| YEN H HUYNH3 | 1224 NW 29TH STREET OKLAHOMA, OK 73106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $329 | — | $329 | 0.49% |
| NAVILLE & ASSOCIATES3 Filed as: NAVILLE AND ASSOCIATES | 14220 OVERBROOK DRIVE CARMEL, IN 46074 | CONTINENTAL AMERICAN INSURANCE COMPANY | $308 | — | $308 | 0.46% |
| NAVILLE & ASSOCIATES3 Filed as: NAVILLE AND ASSOCIATES | 14220 OVERBROOK DRIVE CARMEL, IN 46074 | CONTINENTAL AMERICAN INSURANCE COMPANY | $234 | — | $234 | 0.35% |
| JAMES A BURRESS3 | 445 HUTCHINSON AVENUE SUITE 820 COLUMBUS, OH 43235 | CONTINENTAL AMERICAN INSURANCE COMPANY | $164 | — | $164 | 0.24% |
| JORDAN S SMITH3 | 4751 TROULDALE DRIVE SUITE 106 NASHVILLE, TN 37220 | CONTINENTAL AMERICAN INSURANCE COMPANY | $132 | — | $132 | 0.20% |
| BRANDEE L JUSTUS3 | VICTORIA BLUFFS DRIVE NEWBURGH, IN 47630 | CONTINENTAL AMERICAN INSURANCE COMPANY | $132 | — | $132 | 0.20% |
| WARREN REID HAVENOR3 Filed as: WARREN R HAVENOR | 2601 FORTUNE CIRCLE E SUITE 103A INDIANAPOLIS, IN 46241 | CONTINENTAL AMERICAN INSURANCE COMPANY | $126 | — | $126 | 0.19% |
| TRACY L COX3 | 2259 MULBERRY DRIVE SEYMOUR, IN 47274 | CONTINENTAL AMERICAN INSURANCE COMPANY | $116 | — | $116 | 0.17% |
| MELODY ANN WRENN3 Filed as: MELODY A WRENN | 305 OAKWOOD AVENUE STATE COLLEGE, PA 16803 | CONTINENTAL AMERICAN INSURANCE COMPANY | $114 | — | $114 | 0.17% |
| ROBERT WRIGHT3 | 3980 CORBY ROAD UNIONTOWN, OH 44685 | CONTINENTAL AMERICAN INSURANCE COMPANY | $112 | — | $112 | 0.17% |
| HEAVEN DAWN NORTH3 Filed as: HEAVEN D NORTH | 2445 GINGHAMSBURG FREDERICK ROAD TIPP CITY, OH 45371 | CONTINENTAL AMERICAN INSURANCE COMPANY | $100 | — | $100 | 0.15% |
| SUSAN MOSER3 | 11051 BROADWAY SUITE C CROWN POINT, IN 46307 | CONTINENTAL AMERICAN INSURANCE COMPANY | $81 | — | $81 | 0.12% |
| JON R OVERACRE3 | 916 S WICKSHIRE WAY BRENTWOOD, TN 37027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $81 | — | $81 | 0.12% |
| MARK C LAMAR3 | 1006 APPLE BLOSSOM DRIVE FLORENCE, KY 41042 | CONTINENTAL AMERICAN INSURANCE COMPANY | $71 | — | $71 | 0.11% |
| KELLY J WARREN3 | 11051 BROADWAY SUITE C CROWN POINT, IN 46307 | CONTINENTAL AMERICAN INSURANCE COMPANY | $53 | — | $53 | 0.08% |
| MARK A WOJDA3 Filed as: MARK WOJDA | 9247 NORTH MERIDIAN STREET SUITE 205 INDIANAPOLIS, IN 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $48 | — | $48 | 0.07% |
| MATTHEW A COOK3 | 9247 NORTH MERIDIAN STREET SUITE 205 INDIANAPOLIS, IN 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $48 | — | $48 | 0.07% |
| THOMAS A HOUSE3 | 2133 QUAIL HOLLOW DRIVE BRUNSWICK, OH 44212 | CONTINENTAL AMERICAN INSURANCE COMPANY | $46 | — | $46 | 0.07% |
| JOHN D SUSIE3 | 8682 HAWICK COURT NORTH DUBLIN, OH 43017 | CONTINENTAL AMERICAN INSURANCE COMPANY | $45 | — | $45 | 0.07% |
| VBTN, INC3 Filed as: VBTN, INC. | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $39 | — | $39 | 0.06% |
| HARE AND ASSOCIATES LLC3 | 470 OLD WORTHINGTON ROAD SUITE 250 WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $35 | — | $35 | 0.05% |
| ALAN W FOSTER3 | 1823 BRONWYN COURT BRENTWOOD, TN 37027 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | — | $32 | 0.05% |
| BERNADETTE PAVLICK3 | 681 JAMES ROAD COLUMBUS, OH 43219 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | — | $32 | 0.05% |
| HARE AND ASSOCIATES LLC3 | 470 OLDE WORTHINGTON ROAD SUITE 250 WESTERVILLE, OH 43082 | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | — | $31 | 0.05% |
| TARA SCHNAUS3 | 3060 NORTH WALNUT RIDGE COURT JASPER, IN 47546 | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | — | $31 | 0.05% |
| STEVE C BRANNON3 Filed as: STEVE C BRANNON, JR. | 2812 BURNINGTREE MOUNTAIN ROAD DECATUR, AL 35603 | CONTINENTAL AMERICAN INSURANCE COMPANY | $27 | — | $27 | 0.04% |
| PAULA GAIL NEAL3 Filed as: PAULA C CUTTER | 945 SHOOT PARKWAY LEXINGTON, OH 43235 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | — | $26 | 0.04% |
| BRIANNA LYNN ROWE3 Filed as: BRIANNA L ROWE | 8333 CATCH FLY DRIVE PLAINFIELD, IN 46168 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | — | $24 | 0.04% |
| JOHN T CLANCY3 | 4025 PETE DYE BLVD CARMEL, IN 46033 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | — | $24 | 0.04% |
| MICHAEL P JONES3 | 8375 DIX ELLIS TRAIL SUITE 409 JACKSONVILLE, FL 32256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | — | $24 | 0.04% |
| JENNIFER L MITCHEN3 | 8344 THACKERY COURT INDIANAPOLIS, IN 46256 | CONTINENTAL AMERICAN INSURANCE COMPANY | $22 | — | $22 | 0.03% |
| YEN H HUYNH3 | 1224 NW 29TH STREET OKLAHOMA CITY, OK 73106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $20 | — | $20 | 0.03% |
| PERRY L CALVERT3 | 2400 CO ROAD 1678 CULLMAN, AL 35058 | CONTINENTAL AMERICAN INSURANCE COMPANY | $20 | — | $20 | 0.03% |
| MICHAEL R REBER3 | 8600 HIDDEN RIVER PARKWAY SUITE 75 TAMPA, FL 33637 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.03% |
| JOHN C POLLOCK3 | 6410 GUILFORD DRIVE PENSACOLA, FL 32504 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | — | $16 | 0.02% |
| CHRIS A GEHLHAUSEN3 Filed as: CHRIS GEHLHAUSEN | 2602 NEWTON STREET JASPER, IN 47546 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | — | $16 | 0.02% |
| BRIAN J DAY3 | 8744 UNION CENTRE BLVD WEST CHESTER, OH 45069 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | — | $11 | 0.02% |
| JUSTIN P COX3 | 7460 TALL PINE DRIVE LEWIS CENTER, OH 43035 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | — | $11 | 0.02% |
| TERRI L DAIGLE3 | 145 PATRIOTS LANDING FILLMORE, IN 46128 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.01% |
| JAY S OLEARY3 Filed as: JAY S O'LEARY | 301 MALLORY STATION ROAD SUITE 100 FRANKLIN, TN 37067 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | 0.01% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DRIVE CARMEL, IN 46033 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.01% |
| BRIAN V ANDREWS3 | 600 UNIVERITY OFFICE PARK SUITE 12 PENSACOLA, FL 32504 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| JOSHUA LEE JONES3 Filed as: JOSHUA L JONES | 18032 DEERCLIFF COURT GLENCOE, MO 63038 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| R AARON WRIGHT3 Filed as: AARON R WRIGHT | 9505 TRUSCOTT COURT PROSPECT, KY 40059 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| SAIC INC3 | 4245 MILGEN ROAD COLUMBUS, GA 31907 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| BRIAN V ANDREWS3 | 600 UNIVERSITY OFFICE PARK SUITE 12 PENSACOLA, FL 32504 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| JOANNA G MATHERLY3 Filed as: JOANNA G PEOPLE | 301 MALLORY STATION ROAD SUITE 100 FRANKLIN, TN 37067 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| JOHN S AMOS3 Filed as: JOHN A AMOS | 4245 MILGEN ROAD COLUMBUS, GA 31907 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| DARREN L BRUNO3 | 7542 STONE LAKE DRIVE DUBLIN, OH 43016 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| MARKUS MUELLER3 | 9306 BROCK ROAD PLAIN CITY, OH 43064 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| CLIFFORD FRANKLIN BROOKS3 Filed as: CLIFFORD FRANK BROOKS | 9200 SHELBYVILLE ROAD SUITE 605 LOUISVILLE, KY 40222 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| KATIE J FLETCHER3 | 9247 NORTH MEDIDIAN INDIANAPOLIS, IN 46260 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| BRADLEY L ELLIS3 | 102 THOROUGHBRED HIGHWAY GEORGETOWN, KY 40324 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| GREGORY & APPEL, INC.3 Filed as: GREGORY & APPEL INSURANCE | 1402 NORTH CAPITOL AVENUE SUITE 400 INDIANAPOLIS, IN 46202 | STANDARD INSURANCE COMPANY | $502 | — | $502 | 7.76% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC. | 3755 EAST 82ND STREET SUITE 100 INDIANAPOLIS, IN 46240 | STANDARD INSURANCE COMPANY | $468 | — | $468 | 7.24% |
| LATRICA A. SCHOOLEY3 | 1000 EAST WACKER DRIVE SUITE 700 CHICAGO, IL 60601 | COMBINED INSURANCE COMPANY OF AMERICA | $107 | — | $107 | 1.99% |
| GREGORY & APPEL, INC.3 Filed as: GREGORY & APPEL INSURANCE | 1402 NORTH CAPITOL AVENUE SUITE 400 INDIANAPOLIS, IN 46202 | STANDARD INSURANCE COMPANY | $180 | — | $180 | 5.09% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC. | 3755 EAST 82ND STREET SUITE 100 INDIANAPOLIS, IN 46240 | STANDARD INSURANCE COMPANY | $174 | — | $174 | 4.92% |
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 | 741 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 742 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 401 | $76K |
| Life insurance(2 contracts, 2 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 741 | $93K |
| Long-term disability(2 contracts, 2 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 741 | $96K |
| Other(4 contracts, 4 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 741 | $166K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 741 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.