| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MJ INSURANCE3 | PO BOX 3430 CARMEL, IN 460823430 | ANTHEM INSURANCE COMPANIES INC | $20K | $180 | $20K | 2.01% |
| MJ INSURANCE3 | PO BOX 3430 CARMEL, IN 460823430 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | — | $5K | 7.66% |
| MJ INSURANCE3 | PO BOX 3430 CARMEL, IN 460823430 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | — | $8K | 15.00% |
| MJ INSURANCE3 | PO BOX 3430 CARMEL, IN 460823430 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 3.00% |
| MJ INSURANCE3 | PO BOX 3430 CARMEL, IN 460823430 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 7.25% |
| MJ INSURANCE3 | PO BOX 3430 CARMEL, IN 460823430 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 7.82% |
| MJ INSURANCE3 | PO BOX 3430 CARMEL, IN 460823430 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 8.12% |
| MJ INSURANCE3 | 571 MONON BLVD STE 400 CARMEL, IN 46032 | MADISON NATIONAL LIFE | $559 | — | $559 | 12.01% |
| MGU UNDERWRITING FEE3 | 1280 BRIGHTON WAY NEWTOWN SQUARE, PA 19073 | MADISON NATIONAL LIFE | $256 | — | $256 | 5.50% |
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 | 272 | 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) | 272 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | ANTHEM INSURANCE COMPANIES INC | 69 | $991K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 168 | $47K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 185 | $14K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 272 | $16K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 92 | $24K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 272 | $63K |
| Stop-loss / reinsurancereinsurance | WESTPORT INSURANCE CORPORATION | 33 | $19K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 183 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 272 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.