| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIRST MERCHANTS INSURANCE SERVICES3 Filed as: FIRST MERCHANTS INS GROUP | 302 E JACKSON ST MUNCIE, IN 47305 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.44% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC | 9225 PRIORITY WAY W DR #100 INDIANAPOLIS, IN 46240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $765 | — | $765 | 0.82% |
| FIRST MERCHANTS INSURANCE SERVICES3 Filed as: FIRST MERCHANTS INS SVCS INC | 302 E JACKSON ST MUNCIE, IN 47305 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | $2K | $7K | 12.67% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC | 9225 PRIORITY WAY W DR #100 INDIANAPOLIS, IN 46240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 4.42% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $497 | — | $497 | 0.92% |
| FIRST MERCHANTS INSURANCE SERVICES3 Filed as: FIRST MERCHANTS INSURANCE SERV | 302 E JACKSON ST MUNCIE, IN 47305 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $2K | — | $2K | 6.86% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES | PO BOX 62939 VIRGINIA BEACH, VA 23466 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $275 | — | $275 | 0.92% |
| FIRST MERCHANTS INSURANCE SERVICES3 | 302 E JACKSON ST MUNCIE, IN 47305 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $811 | $811 | 4.05% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC | 9225 PRIORITY WAY W DR #100 INDIANAPOLIS, IN 46240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $63 | — | $63 | 0.31% |
| FIRST MERCHANTS INSURANCE SERVICES3 Filed as: FIRST MERCHANTS INS SVCS INC | 302 E JACKSON ST MUNCIE, IN 47305 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $534 | $2K | 12.75% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC | 9225 PRIORITY WAY W DR INDIANAPOLIS, IN 46240 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $768 | — | $768 | 4.48% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62889 VIRGINIA BEACH, VA 23466 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $152 | — | $152 | 0.89% |
| FIRST MERCHANTS INSURANCE SERVICES3 Filed as: FIRST MERCHANTS INS SVCS INC | 302 E JACKSON ST MUNCIE, IN 47305 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $878 | $878 | 5.85% |
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 | 148 | 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) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 91 | $27K |
| Dental(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 131 | $108K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 398 | $30K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 148 | $74K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 146 | $17K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 148 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 398 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.