| 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. | $41K | $0 | $41K | 10.06% |
| ROGLE INC3 Filed as: ROGLE, INC. | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15K | $12K | $27K | 13.04% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP, INC. | 8424 US HIGHWAY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18K | $0 | $18K | 8.80% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $1K | $8K | 3.69% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 3303 SOUTH 79TH STREET LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $3K | $6K | 3.03% |
| CHARITY DAWN MEARS3 | 5859 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $2K | $6K | 2.87% |
| ELITE ADMINISTRATION3 | 313 HARKINS BLUFF DRIVE GREER, SC 29651 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $310 | $0 | $310 | 0.15% |
| APRIL RANGEL-SCOTT3 Filed as: APRIL RANGEL-SCOTT AND OTHER AGENTS | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $174 | $0 | $174 | 0.08% |
| ROGLE INC3 Filed as: ROGLE, INC. | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11K | $9K | $20K | 12.29% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP, INC. | 8424 US HIGHWAY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15K | $0 | $15K | 9.06% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $1K | $6K | 3.68% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 3303 SOUTH 79TH STREET LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $2K | $4K | 2.78% |
| CHARITY DAWN MEARS3 | 5859 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $858 | $3K | 1.58% |
| ELITE ADMINISTRATION & OTHER AGENTS3 | 313 HARKINS BLUFF DRIVE GREER, SC 29651 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $480 | $0 | $480 | 0.30% |
| APRIL RANGEL-SCOTT3 | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $414 | $0 | $414 | 0.26% |
| ROGLE INC3 Filed as: ROGLE, INC. | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11K | $8K | $19K | 13.93% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP, INC. | 8424 US HIGHWAY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12K | $0 | $12K | 8.79% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $1K | $6K | 4.77% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 3303 SOUTH 79TH STREET LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $2K | $4K | 3.30% |
| CHARITY DAWN MEARS3 | 5859 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $947 | $3K | 2.06% |
| APRIL RANGEL-SCOTT3 Filed as: APRIL RANGEL-SCOTT AND OTHER AGENTS | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $281 | $0 | $281 | 0.21% |
| ELITE ADMINISTRATION3 | 313 HARKINS BLUFF DRIVE GREER, SC 29651 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $181 | $0 | $181 | 0.13% |
| ROGLE INC3 Filed as: ROGLE, INC. | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | $7K | $16K | 13.43% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP, INC. | 8424 US HIGHWAY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11K | $0 | $11K | 9.03% |
| CHARITY DAWN MEARS3 | 5859 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $2K | $5K | 4.20% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 3303 SOUTH 79TH STREET LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $1K | $4K | 3.05% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $405 | $2K | 1.82% |
| ELITE ADMINISTRATION & OTHER AGENTS3 | 313 HARKINS BLUFF DRIVE GREER, SC 29651 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $347 | $0 | $347 | 0.29% |
| DANA LYNN POWER3 | 3362 SHORE DRIVE GREENWOOD, IN 46143 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $313 | $0 | $313 | 0.27% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP, INC. | 9400 PRIORITY WAY WEST DRIVE INDIANAPOLIS, IN 46240 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | $953 | $14K | 14.33% |
| ROGLE INC3 Filed as: ROGLE, INC. | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $5K | $11K | 15.56% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP, INC. | 8424 US HIGHWAY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $0 | $6K | 8.61% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 3303 SOUTH 79TH STREET LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $1K | $3K | 3.61% |
| CHARITY DAWN MEARS3 | 5859 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $876 | $3K | 3.59% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $371 | $2K | 2.80% |
| DANA LYNN POWER3 | 3362 SHORE DRIVE GREENWOOD, IN 46143 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $674 | $0 | $674 | 0.96% |
| MJ INSURANCE Filed as: RACHEL CHARTERS AND VARIOUS AGENTS | 3434 GOLDEN GATE DRIVE NORTH CARMEL, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $140 | $0 | $140 | 0.20% |
| ROGLE INC3 Filed as: ROGLE, INC. | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $3K | $8K | 12.27% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP, INC. | 8424 US HIGHWAY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $0 | $6K | 9.03% |
| CHARITY DAWN MEARS3 | 5859 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $1K | $3K | 5.15% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 3303 SOUTH 79TH STREET LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $678 | $2K | 2.81% |
| DANA LYNN POWER3 | 3362 SHORE DRIVE GREENWOOD, IN 46143 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $344 | $0 | $344 | 0.55% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $128 | $22 | $150 | 0.24% |
| ELITE ADMINISTRATION & OTHER AGENTS3 | 313 HARKINS BLUFF DRIVE GREER, SC 29651 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $81 | $0 | $81 | 0.13% |
| ROGLE INC3 Filed as: ROGLE, INC. | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $4K | $10K | 15.60% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP, INC. | 8424 US HIGHWAY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $0 | $6K | 8.90% |
| CHARITY DAWN MEARS3 | 5859 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $1K | $3K | 4.69% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 3303 SOUTH 79TH STREET LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $933 | $2K | 3.52% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $806 | $186 | $992 | 1.60% |
| APRIL RANGEL-SCOTT3 Filed as: APRIL RANGEL-SCOTT AND OTHER AGENTS | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $412 | $0 | $412 | 0.67% |
| DANA LYNN POWER3 | 7634 SAND POINT INDIANAPOLIS, IN 46240 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $379 | $0 | $379 | 0.61% |
| ROGLE INC3 Filed as: ROGLE, INC. | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $4K | $9K | 14.83% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP, INC. | 8424 US HIGHWAY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $0 | $5K | 8.84% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $449 | $2K | 4.03% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 3303 SOUTH 79TH STREET LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $858 | $2K | 3.43% |
| CHARITY DAWN MEARS3 | 5859 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $535 | $2K | 2.54% |
| APRIL RANGEL-SCOTT3 | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $224 | $0 | $224 | 0.36% |
| MJ INSURANCE3 Filed as: DANA LYNN POWER AND VARIOUS AGENTS | 7634 SAND POINT INDIANAPOLIS, IN 46240 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $177 | $0 | $177 | 0.29% |
| ROGLE INC3 Filed as: ROGLE, INC. | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $3K | $6K | 14.89% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP, INC. | 8424 US HIGHWAY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $0 | $4K | 8.79% |
| CHARITY DAWN MEARS3 | 5859 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $646 | $2K | 4.54% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 3303 SOUTH 79TH STREET LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $806 | $571 | $1K | 3.38% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $613 | $140 | $753 | 1.85% |
| DANA LYNN POWER3 | 7634 SAND POINT INDIANAPOLIS, IN 46240 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $293 | $0 | $293 | 0.72% |
| ELITE ADMINISTRATION & OTHER AGENTS3 | 313 HARKINS BLUFF DRIVE GREER, SC 29651 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $86 | $0 | $86 | 0.21% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP, INC. | 9400 PRIORITY WAY WEST DRIVE INDIANAPOLIS, IN 46240 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | $0 | $5K | 15.00% |
| ROGLE INC3 Filed as: ROGLE, INC. | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $2K | $3K | 15.36% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP, INC. | 8424 US HIGHWAY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 9.58% |
| CHARITY DAWN MEARS3 | 5859 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $741 | $399 | $1K | 5.22% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 3303 SOUTH 79TH STREET LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $485 | $359 | $844 | 3.87% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $424 | $96 | $520 | 2.38% |
| MJ INSURANCE3 Filed as: DANA LYNN POWER AND VARIOUS AGENTS | 7634 SAND POINT INDIANAPOLIS, IN 46240 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $105 | $0 | $105 | 0.48% |
| BRANDON TYLER LYNN3 | 9015 COOPER ROAD ZIONSVILLE, IN 46077 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | $0 | $37 | 0.17% |
| ROGLE INC3 Filed as: ROGLE, INC. | 7460 LANTERN ROAD INDIANAPOLIS, IN 46256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $2K | $4K | 25.54% |
| ROBERT W BURGETT3 Filed as: ROBERT DOERR | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $290 | $2K | 10.20% |
| RAY SKILLMAN INSURANCE GROUP INC.3 Filed as: RAY SKILLMAN INSURANCE GROUP, INC. | 8424 US HIGHWAY 31 SOUTH INDIANAPOLIS, IN 46227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 9.11% |
| KAMI L STANLEY3 Filed as: KAMI L. STANLEY | 3303 SOUTH 79TH STREET LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $468 | $402 | $870 | 5.79% |
| DANA LYNN POWER3 | 7634 SAND POINT INDIANAPOLIS, IN 46240 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $143 | $0 | $143 | 0.95% |
| CHARITY DAWN MEARS3 Filed as: CHARITY DAWN MEARS AND OTHER AGENTS | 5859 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $98 | $44 | $142 | 0.95% |
| APRIL RANGEL-SCOTT3 | 16844 BURKET COURT WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $127 | $0 | $127 | 0.85% |
| 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 | 17.10% |
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 | 602 | 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) | 602 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ANTHEM INSURANCE COMPANIES, INC. | 983 | $408K |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 983 | $408K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,117 | $137K |
| Short-term disability(11 contracts) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 183 | $953K |
| Long-term disability(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,117 | $146K |
| Other(13 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,117 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,117 | — |
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.