| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC | 9400 PRIORITY WAY WEST DRIVE INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES, INC. | $35K | $0 | $35K | 10.12% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP INC | 8424 US HWY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19K | $0 | $19K | 9.18% |
| ROGLE INC3 | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14K | $3K | $17K | 8.28% |
| MJ INSURANCE3 Filed as: KILIEGH STANLEY AND VARIOUS AGENTS | 800 WEST 37TH STREET ANDERSON, IN 46013 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $571 | $6K | 2.77% |
| APRIL RANGEL-SCOTT3 | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $443 | $5K | 2.42% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 4520 SOUTH 49TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $872 | $4K | 1.94% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $43 | $1K | 0.60% |
| ALITA RANGEL-SCOTT3 | 1473 SOUTH LILY COURT GREENFIELD, IN 46140 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 0.58% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP INC | 8424 US HWY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15K | $0 | $15K | 9.96% |
| ROGLE INC3 | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | $2K | $11K | 7.47% |
| MICHELLE LOUISE GOLDWOOD3 Filed as: MICHELLE GOLDWOOD AND OTHER AGENTS | 13255 DECEPTION PASS, UNIT 800 FISHERS, IN 46038 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $127 | $4K | 2.69% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 4520 SOUTH 49TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $521 | $2K | 1.63% |
| DANA LYNN POWER3 | 3601 CIRCLE BOULEVARD INDIANPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $353 | $2K | 1.20% |
| RACHEL CHARTERS3 | 3434 GOLDEN GATE DRIVE NORTH CARMEL, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $280 | $1K | 0.94% |
| MJ INSURANCE3 Filed as: TATYA DOTSON | 148 PINEVIEW DRIVE, APARTMENT 10 CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $864 | $327 | $1K | 0.79% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC | 9400 PRIORITY WAY WEST DRIVE INDIANAPOLIS, IN 46240 | METROPOLITAN LIFE INSURANCE COMPANY | $15K | $1K | $16K | 15.59% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP INC | 8424 US HWY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | $0 | $10K | 9.68% |
| ROGLE INC3 | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $2K | $9K | 8.93% |
| ALITA RANGEL-SCOTT3 Filed as: ALITA RANGEL-SCOTT AND OTHER AGENTS | 1473 SOUTH LILY COURT GREENFIELD, IN 46140 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $77 | $3K | 2.73% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 4520 SOUTH 49TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $465 | $2K | 2.05% |
| APRIL RANGEL-SCOTT3 | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $164 | $2K | 1.83% |
| DANA LYNN POWER3 | 3601 CIRCLE BOULEVARD INDIANPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $961 | $212 | $1K | 1.15% |
| KILIEGH LEANN STANLEY3 | 800 WEST 37TH STREET ANDERSON, IN 46013 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $989 | $83 | $1K | 1.05% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP INC | 8424 US HWY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8K | $0 | $8K | 9.73% |
| ROGLE INC3 | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $1K | $7K | 9.17% |
| DANA LYNN POWER3 | 3601 CIRCLE BOULEVARD INDIANPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $422 | $2K | 2.75% |
| MJ INSURANCE3 Filed as: TATYA DOTSON AND VARIOUS AGENTS | 148 PINEVIEW DRIVE, APARTMENT 10 CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $204 | $2K | 2.68% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 4520 SOUTH 49TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $358 | $2K | 2.06% |
| RACHEL CHARTERS3 | 3434 GOLDEN GATE DRIVE NORTH CARMEL, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $741 | $183 | $924 | 1.18% |
| MICHELLE LOUISE GOLDWOOD3 | 13255 DECEPTION PASS, UNIT 800 FISHERS, IN 46038 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $526 | $0 | $526 | 0.67% |
| ROGLE INC3 | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $1K | $5K | 10.04% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP INC | 8424 US HWY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $0 | $5K | 9.86% |
| MJ INSURANCE3 Filed as: TATYA DOTSON AND VARIOUS AGENTS | 148 PINEVIEW DRIVE, APARTMENT 10 CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $166 | $1K | 2.42% |
| MICHELLE LOUISE GOLDWOOD3 | 13255 DECEPTION PASS, UNIT 800 FISHERS, IN 46038 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 2.34% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 4520 SOUTH 49TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $860 | $257 | $1K | 2.17% |
| DANA LYNN POWER3 | 3601 CIRCLE BOULEVARD INDIANPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $793 | $170 | $963 | 1.87% |
| RACHEL CHARTERS3 | 3434 GOLDEN GATE DRIVE NORTH CARMEL, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $446 | $110 | $556 | 1.08% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC | 9400 PRIORITY WAY WEST DRIVE INDIANAPOLIS, IN 46240 | SUN LIFE INSURANCE COMPANY OF CANADA | $8K | $0 | $8K | 15.62% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP INC | 8424 US HWY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $0 | $4K | 10.53% |
| ROGLE INC3 | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $843 | $4K | 9.95% |
| DANA LYNN POWER3 | 3601 CIRCLE BOULEVARD INDIANPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $361 | $2K | 4.44% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 4520 SOUTH 49TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $797 | $227 | $1K | 2.43% |
| RACHEL CHARTERS3 | 3434 GOLDEN GATE DRIVE NORTH CARMEL, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $629 | $155 | $784 | 1.86% |
| MJ INSURANCE3 Filed as: KILIEGH STANLEY AND VARIOUS AGENTS | 800 WEST 37TH STREET ANDERSON, IN 46013 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $662 | $19 | $681 | 1.61% |
| APRIL RANGEL-SCOTT3 | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $198 | $18 | $216 | 0.51% |
| ROGLE INC3 | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $932 | $4K | 14.62% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP INC | 8424 US HWY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $0 | $3K | 8.99% |
| DANA LYNN POWER3 | 3601 CIRCLE BOULEVARD INDIANPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $371 | $2K | 6.20% |
| RACHEL CHARTERS3 | 3434 GOLDEN GATE DRIVE NORTH CARMEL, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $872 | $215 | $1K | 3.76% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 4520 SOUTH 49TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $781 | $251 | $1K | 3.57% |
| MJ INSURANCE3 Filed as: TATYA DOTSON AND VARIOUS AGENTS | 148 PINEVIEW DRIVE, APARTMENT 10 CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $524 | $83 | $607 | 2.10% |
| APRIL RANGEL-SCOTT3 | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $274 | $27 | $301 | 1.04% |
| ROGLE INC3 | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $621 | $3K | 10.62% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP INC | 8424 US HWY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $0 | $3K | 9.55% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 4520 SOUTH 49TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $566 | $170 | $736 | 2.57% |
| DANA LYNN POWER3 | 3601 CIRCLE BOULEVARD INDIANPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $570 | $139 | $709 | 2.48% |
| APRIL RANGEL-SCOTT3 Filed as: APRIL RANGEL-SCOTT AND OTHER AGENTS | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $654 | $22 | $676 | 2.36% |
| RACHEL CHARTERS3 | 3434 GOLDEN GATE DRIVE NORTH CARMEL, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $488 | $120 | $608 | 2.12% |
| KILIEGH LEANN STANLEY3 | 800 WEST 37TH STREET ANDERSON, IN 46013 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $513 | $43 | $556 | 1.94% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP INC | 8424 US HWY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 9.30% |
| ROGLE INC3 | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $265 | $1K | 8.90% |
| BRANDON TYLER LYNN3 | 5969 UNIVERSITY AVENUE INDIANAPOLIS, IN 46219 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $502 | $37 | $539 | 3.37% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 4520 SOUTH 49TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $243 | $64 | $307 | 1.92% |
| MJ INSURANCE3 Filed as: NATHANIEL JOSEPH SMITH | 8711 DEER RUN DRIVE INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $233 | $250 | 1.57% |
| MJ INSURANCE3 Filed as: ELITE ADMIN. AND VARIOUS AGENTS | 313 HARKINS BLUFF DRIVE GREER, SC 29651 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $172 | $4 | $176 | 1.10% |
| DANA LYNN POWER3 | 3601 CIRCLE BOULEVARD INDIANPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $108 | $0 | $108 | 0.68% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP INC | 8424 US HWY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 9.28% |
| ROGLE INC3 | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $740 | $120 | $860 | 5.62% |
| MJ INSURANCE3 Filed as: KRISTIN METZEL AND VARIOUS AGENTS | 611 WEST 77TH STREET SOUTH INDIANAPOLIS, IN 46260 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $210 | $5 | $215 | 1.40% |
| DANA LYNN POWER3 | 3601 CIRCLE BOULEVARD INDIANPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $159 | $39 | $198 | 1.29% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 4520 SOUTH 49TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $140 | $35 | $175 | 1.14% |
| RACHEL CHARTERS3 | 3434 GOLDEN GATE DRIVE NORTH CARMEL, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $125 | $31 | $156 | 1.02% |
| ELITE ADMINISTRATION3 | 313 HARKINS BLUFF DRIVE GREER, SC 29651 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $78 | $0 | $78 | 0.51% |
| ROGLE INC3 | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $515 | $2K | 16.32% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP INC | 8424 US HWY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 9.29% |
| DANA LYNN POWER3 | 3601 CIRCLE BOULEVARD INDIANPOLIS, IN 46220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $781 | $204 | $985 | 7.12% |
| RACHEL CHARTERS3 | 3434 GOLDEN GATE DRIVE NORTH CARMEL, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $748 | $184 | $932 | 6.74% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 4520 SOUTH 49TH STREET LINCOLN, NE 68516 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $402 | $130 | $532 | 3.85% |
| MJ INSURANCE3 Filed as: ROBERT DOERR AND VARIOUS AGENTS | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $28 | $0 | $28 | 0.20% |
| ELITE ADMINISTRATION3 | 313 HARKINS BLUFF DRIVE GREER, SC 29651 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | $0 | $20 | 0.14% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC | 9400 PRIORITY WAY WEST DRIVE INDIANAPOLIS, IN 46240 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 16.02% |
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 | 1,052 | 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) | 1,052 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ANTHEM INSURANCE COMPANIES, INC. | 897 | $347K |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 897 | $347K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,052 | $104K |
| Short-term disability(11 contracts) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 188 | $735K |
| Long-term disability(5 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,052 | $165K |
| Other(13 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,052 | $839K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,052 | — |
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.