| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE LLC | 111 CONGRESSIONAL BLVD STE 100 CARMEL, IN 46032 | STANDARD INSURANCE COMPANY | $4K | $0 | $4K | 9.07% |
| KYLE ELLISON3 Filed as: KYLE R ELLISON | 1281 E MARIGOLD DR BLOOMINGTON, IN 47401 | AFLAC | $1K | $13 | $1K | 3.86% |
| INDIANA PROFIT SOLUTIONS INC3 | 4030 LUCKY LN GREENWOOD, IN 46142 | AFLAC | $833 | $81 | $914 | 2.69% |
| ROBERT W BURGETT3 | 2601 FORTUNE CIR E STE 103A INDIANAPOLIS, IN 46241 | AFLAC | $603 | $9 | $612 | 1.80% |
| MICHAEL DUANE ARNOLD3 | 2601 FORTUNE CIR E STE 103A INDIANAPOLIS, IN 46241 | AFLAC | $508 | $26 | $534 | 1.57% |
| DANIEL R HARPER JR3 | 1028 S BELVEDERE AVE GASTONIA, NC 28054 | AFLAC | $314 | $13 | $327 | 0.96% |
| DAVID LEVERENZ3 | 2146 S OAKDALE DR BLOOMINGTON, IN 47403 | AFLAC | $192 | $0 | $192 | 0.56% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INS LLC | 1200 W CARMEL DR CARMEL, IN 46032 | AFLAC | $139 | — | $139 | 0.41% |
| ROBERT W BURGETT3 | 2601 FORTUNE CIRCLE EAST SUITE 103A INDIANAPOLIS, IN 46241 | AFLAC | $42 | $24 | $66 | 0.19% |
| NAVILLE & ASSOCIATES3 | 14220 OVERBROOK DR CARMEL, IN 46074 | AFLAC | $63 | — | $63 | 0.19% |
| PETER J EMMERT3 | 1048 W 17TH ST BLOOMINGTON, IN 47404 | AFLAC | $45 | $5 | $50 | 0.15% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | $41 | — | $41 | 0.12% |
| PETER J EMMERT3 | 2601 FORTUNE CIR E STE 103A INDIANAPOLIS, IN 46241 | AFLAC | $32 | — | $32 | 0.09% |
| RYAN E FRAZIER3 | 220 STONEGATE LN APT B INDIANAPOLIS, IN 46227 | AFLAC | $15 | — | $15 | 0.04% |
| DENTON J GILES3 | 9235 LAKEWAY VIEW LN HUMBLE, TX 77396 | AFLAC | $14 | — | $14 | 0.04% |
| SHERRY S HSU3 | 803 OYSTER CREEK DR SUGARLAND, TX 77478 | AFLAC | $14 | — | $14 | 0.04% |
| THOMAS ALEX SHEVLOT3 | 7326 ELM RIDGE DR INDIANAPOLIS, IN 46236 | AFLAC | $4 | $9 | $13 | 0.04% |
| NANCY A SHEVLOT3 | 310 E 17TH ST INDIANAPOLIS, IN 46202 | AFLAC | $13 | — | $13 | 0.04% |
| PERENNIAL INS AGENCY COMPANY3 | 803 OYSTER CREEK DR SUGARLAND, TX 77478 | AFLAC | $12 | — | $12 | 0.04% |
| RITA J ABRAM3 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $11 | — | $11 | 0.03% |
| NANCY A SHEVLOT3 | 310 E 17TH STREET INDIANAPOLIS, IN 46202 | AFLAC | $9 | — | $9 | 0.03% |
| JOHN P WHELAN3 | 15129 GOODTIME COURT CARMEL, IN 46032 | AFLAC | $5 | — | $5 | 0.01% |
| MATTHEW G BERGER3 Filed as: MATTHEW COOK | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $5 | — | $5 | 0.01% |
| TIMOTHY B ASBY3 | 9247 N MERIDIAN ST STE 205 INDIANAPOLIS, IN 46260 | AFLAC | $5 | — | $5 | 0.01% |
| HYLANT GROUP INC3 | PO BOX 40925 INDIANAPOLIS, IN 46240 | AFLAC | $4 | — | $4 | 0.01% |
| JENNIFER L MITCHEN3 | 9247 N MERIDIAN ST STE 205 INDIANAPOLIS, IN 46260 | AFLAC | $4 | — | $4 | 0.01% |
| JOHN T CLANCY3 | 4025 PETE DYE BLVD CARMEL, IN 46033 | AFLAC | $4 | — | $4 | 0.01% |
| MARK A WOJDA3 | 631 GREENFORD TRL W CARMEL, IN 46032 | AFLAC | $4 | — | $4 | 0.01% |
| RITA J ABRAM3 | 2601 FORTUNE CIRCLE EAST SUITE 103A INDIANAPOLIS, IN 46241 | AFLAC | $3 | — | $3 | 0.01% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DR CARMEL, IN 46033 | AFLAC | $1 | — | $1 | 0.00% |
| AMY N GEHLHAUSEN3 | 3115 HOWARD DR JASPER, IN 47546 | AFLAC | $0 | — | $0 | 0.00% |
| KATIE J FLETCHER3 | 21263 STATE HIGHWAY 148 MARYVILLE, MO 64468 | AFLAC | $0 | — | $0 | 0.00% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE LLC | 111 CONGRESSIONAL BLVD STE 100 CARMEL, IN 46032 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 7.23% |
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 | 161 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 169 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ADVANTAGE HEALTH SOLUTIONS INC | 181 | $967K |
| Dental | DELTA DENTAL OF INDIANA | 163 | $65K |
| Vision | VISION SERVICE PLAN | 96 | $10K |
| Life insurance | STANDARD INSURANCE COMPANY | 159 | $31K |
| Long-term disability | STANDARD INSURANCE COMPANY | 159 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 181 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.