| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNKNOWN3 | UNKNOWN GREENCASTLE, IN 46135 | IU HEALTH PLANS | $37K | $0 | $37K | 4.05% |
| BILLY KIRKHAM3 | 1052 NORTH 38TH STREET TERRE HAUTE, IN 47804 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $21K | $5K | $27K | 12.81% |
| AARON VANPELT INC3 Filed as: AARON VANPELT, INC. | 11495 PENNSYLVANIA STREET SUITE 200 CARMEL, IN 46032 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $2K | $5K | 2.54% |
| LARRY BRYAN KELSHEIMER3 | 3915 WEST THRALLS AVENUE WEST TERRE HAUTE, IN 47885 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $28 | $3K | 1.36% |
| ELIZABETH LOUISE FENDER | 335 SOUTH EMERSON AVENUE INDIANAPOLIS, IN 46219 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $649 | $50 | $699 | 0.33% |
| ALISON SCHWEITZER3 | 4161 CANAPPLE DRIVE INDIANAPOLIS, IN 46235 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $678 | $0 | $678 | 0.32% |
| HEATHER MARIE KASSELMAN3 Filed as: HEATHER KASSELMAN AND OTHER AGENTS | 19363 PACIFICA PLACE NOBLESVILLE, IN 46060 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $593 | $53 | $646 | 0.31% |
| ROBERT EARL PETERS | 307 GARDENDALE ROAD TERRE HAUTE, IN 47803 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $462 | $0 | $462 | 0.22% |
| ASSUREDPARTNERS3 | 10 EAST MAIN STREET, SUITE 400 CARMEL, IN 46032 | STANDARD INSURANCE COMPANY | $5K | $989 | $6K | 12.02% |
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 | 126 | 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) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | IU HEALTH PLANS | 92 | $918K |
| Dental | STANDARD INSURANCE COMPANY | 126 | $49K |
| Vision | STANDARD INSURANCE COMPANY | 126 | $49K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 126 | $258K |
| Prescription drug | IU HEALTH PLANS | 92 | $918K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 126 | $258K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 126 | — |
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.