| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ONI RISK PARTNERS INC3 | PO BOX 80159 INDIANAPOLIS, IN 46280 | ANTHEM INSURANCE COMPANIES, INC. | $8K | — | $8K | 0.92% |
| STREAMLINE ENTERPRISES LLC3 Filed as: STREAMLINE ENTERPRISES LLC DBA | CANOPYNATION 3725 CHAMPION HILLS DR STE 3300 MEMPHIS, TN 38125 | ANTHEM INSURANCE COMPANIES, INC. | $7K | — | $7K | 0.79% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK | PO BOX 80159 INDIANAPOLIS, IN 46280 | METROPLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 8.60% |
| STREAMLINE ENTERPRISES LLC3 | DBA CANOPY NATION 3725 CHAMPION HILLS DR STE 3300 MEMPHIS, TN 38125 | METROPLITAN LIFE INSURANCE COMPANY | $933 | $163 | $1K | 6.02% |
| LYNN M STEPPE3 | 1208 N FARRIER ST TERRE HAUTE, IN 47803 | AFLAC | $623 | — | $623 | 5.75% |
| WILLIAM RICHARD ELDEN3 | 400 WABASH AVE STE B10 TERRE HAUTE, IN 47807 | AFLAC | $225 | — | $225 | 2.08% |
| ROBERT W BURGETT3 | 3670 W 141ST ST CARMEL, IN 46074 | AFLAC | $94 | — | $94 | 0.87% |
| ERIC DEANE3 | 7732 BOLERO DR CAMBY, IN 46113 | AFLAC | $62 | — | $62 | 0.57% |
| ONI RISK PARTNERS INC3 | PO BOX 9689 TERRE HAUTE, IN 47808 | AFLAC | $62 | — | $62 | 0.57% |
| FREDRICK EITEL3 | 602 N 8TH ST MARSHALL, IL 62441 | AFLAC | $43 | — | $43 | 0.40% |
| CANDACE Y HILDEBRAN3 | 864 HEATHERWOOD DR GREENWOOD, IN 46143 | AFLAC | $43 | — | $43 | 0.40% |
| CHRISTOPHER RYAN CORDON3 | 2019 N MAIN ST APT 204B WHEATON, IL 60187 | AFLAC | $23 | — | $23 | 0.21% |
| ROBERT W BURGETT3 | 1701 W 18TH ST STE A INDIANAPOLIS, IN 46202 | AFLAC | $22 | — | $22 | 0.20% |
| LARRY P WYNDHAM3 | 914 S HADLEY ST BRAZIL, IN 47834 | AFLAC | $20 | — | $20 | 0.18% |
| PETER J EMMERT3 | 5904 OAKFORGE LN INDIANAPOLIS, IN 46254 | AFLAC | $20 | — | $20 | 0.18% |
| JAMES A BURRESS3 | 8755 OGDEN DUNES DR CAMBY, IN 46113 | AFLAC | $12 | — | $12 | 0.11% |
| SHARYL K BATHE3 Filed as: SHARYL K JUNEAU | 620 ODD FELLOW RD MATTOON, IL 61938 | AFLAC | $11 | — | $11 | 0.10% |
| J THEIS & ASSOCIATES INC3 | 505 ROUNDHOUSE DR LAUREL, MT 59044 | AFLAC | $9 | — | $9 | 0.08% |
| JOHN D TYLER3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $5 | — | $5 | 0.05% |
| LLOYD W HUGHES3 | 3775 N STATE RD 52 LEBANON, IN 46052 | AFLAC | $3 | — | $3 | 0.03% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB RD FLOYD KNOBS, IN 47119 | AFLAC | $3 | — | $3 | 0.03% |
| JAMES M FLETCHER3 | 7325 CLUBHOUSE DR FORT WAYNE, IN 46835 | AFLAC | $2 | — | $2 | 0.02% |
| JASON HOFFARD3 | 3415 OFFICE PARK DR STE C MARION, IL 62959 | AFLAC | $1 | — | $1 | 0.01% |
| MARTHA MONCKTON3 | 2411 E GRANDVIEW AVE PEORIA, IL 61614 | AFLAC | $1 | — | $1 | 0.01% |
| JOHN T CLANCY3 | 4025 PETE DYE BLVD CARMEL, IN 46033 | AFLAC | $1 | — | $1 | 0.01% |
| MARK A WOJDA3 | 16258 DOGWOOD LN PLYMOUTH, IN 46563 | AFLAC | $1 | — | $1 | 0.01% |
| MATTHEW A COOK3 | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $1 | — | $1 | 0.01% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | $1 | — | $1 | 0.01% |
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 | 97 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 97 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 62 | $847K |
| Dental | ANTHEM INSURANCE COMPANIES, INC. | 62 | $847K |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 62 | $847K |
| Life insurance | METROPLITAN LIFE INSURANCE COMPANY | 134 | $18K |
| Other(2 contracts, 2 carriers) | METROPLITAN LIFE INSURANCE COMPANY | 134 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 134 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.