| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MJ INSURANCE3 Filed as: MJ INSURANCE INC | 9225 PRIORITY WAY WEST DR SUITE 100 INDIANAPOLIS, IN 46240 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $7K | $5K | $12K | 16.82% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC | 175 SOUTH THIRD STREET SUITE 800 COLUMBUS, OH 43215 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $52 | — | $52 | 0.07% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC. | 9255 PRIORITY WAY W DR STE 100 INDIANAPOLIS, IN 46240 | SYMETRA LIFE INSURANCE COMPANY | $4K | — | $4K | 15.02% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC. | 9255 PRIORITY WAY W DR STE 100 INDIANAPOLIS, IN 46240 | SYMETRA LIFE INSURANCE COMPANY | — | $802 | $802 | 2.69% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC | 9225 PRIORITY WAY W DR STE 100 INDIANAPOLIS, IN 46240 | VISION SERVICE PLAN | $1K | — | $1K | 4.93% |
| MJ INSURANCE3 | 9225 PRIORITY WAY WEST DRIVE SUITE 100 INDIANAPOLIS, IN 46240 | UNITED STATES FIRE INSURANCE COMPANY | $2K | $0 | $2K | 11.11% |
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 | 244 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 245 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 121 | $71K |
| Vision | VISION SERVICE PLAN | 93 | $26K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 168 | $30K |
| Long-term disability(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 168 | $32K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 129 | $141K |
| Other(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 168 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 168 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.