| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE LLC | 111 CONGRESSIONAL BLVD STE 100 CARMEL, IN 46032 | ANTHEM INSURANCE COMPANIES INC (G2001) | $24K | $0 | $24K | 2.24% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE LLC | 111 CONGRESSIONAL BLVD STE 100 CARMEL, IN 46032 | STANDARD INSURANCE COMPANY | $5K | $0 | $5K | 8.86% |
| NFP INSURANCE SERVICES INC3 | BLDG 2 STE 125 1250 CAPITAL OF TX HWY AUSTIN, TX 78746 | STANDARD INSURANCE COMPANY | $883 | $0 | $883 | 1.73% |
| KYLE ELLISON3 | 1281 E MARIGOLD DR BLOOMINGTON, IN 47401 | AFLAC | $4K | $159 | $4K | 8.41% |
| ROBERT W BURGETT3 | 1701 W 18TH STREET STE A INDIANAPOLIS, IN 46202 | AFLAC | $981 | $50 | $1K | 2.32% |
| PETER J EMMERT3 | 1701 W 18TH STREET STE A INDIANAPOLIS, IN 46202 | AFLAC | $601 | $0 | $601 | 1.35% |
| INDIANA PROFIT SOLUTIONS INC3 | 4030 LUCKY LN GREENWOOD, IN 46142 | AFLAC | $415 | $53 | $468 | 1.05% |
| MICHAEL DUANE ARNOLD3 | 2147 BUTTONBUSH DR PLAINFIELD, IN 46168 | AFLAC | $355 | $40 | $395 | 0.89% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INS LLC | 1200 W CARMEL DR CARMEL, IN 46032 | AFLAC | $367 | $0 | $367 | 0.83% |
| PETER J EMMERT3 | 1048 W 17TH ST BLOOMINGTON, IN 47404 | AFLAC | $280 | $0 | $280 | 0.63% |
| MICHAEL DUANE ARNOLD3 | 2601 FORTUNE CIR E STE 103A INDIANAPOLIS, IN 46241 | AFLAC | $124 | $10 | $134 | 0.30% |
| DAVID LEVERENZ3 | 2146 S OAKDALE DR BLOOMINGTON, IN 47403 | AFLAC | $100 | $25 | $125 | 0.28% |
| DANIEL R HARPER JR3 | 101 WINDSONG CT GASTONIA, NC 28056 | AFLAC | $69 | $15 | $84 | 0.19% |
| KIMBERLY BURKE3 | 6462 RATTLESNAKE RD SPENCER, IN 47460 | AFLAC | $66 | $0 | $66 | 0.15% |
| NAVILLE & ASSOCIATES3 | 14220 OVERBROOK DR CARMEL, IN 46074 | AFLAC | $58 | $0 | $58 | 0.13% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | $53 | $0 | $53 | 0.12% |
| PERENNIAL INS AGENCY COMPANY3 | 803 OYSTER CREEK DR SUGAR LAND, TX 77478 | AFLAC | $34 | $0 | $34 | 0.08% |
| MATTHEW A COOK3 | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $27 | $0 | $27 | 0.06% |
| JENNIFER L MITCHEN3 | 9247 N MERIDIAN ST STE 205 INDIANAPOLIS, IN 46260 | AFLAC | $20 | $0 | $20 | 0.05% |
| JOHN T CLANCY3 | 4025 PETE DYE BLVD CARMEL, IN 46033 | AFLAC | $20 | $0 | $20 | 0.05% |
| MARK A WOJDA3 | 631 GREENFORD TRL W CARMEL, IN 46032 | AFLAC | $20 | $0 | $20 | 0.05% |
| DENTON J GILES3 | 4526 BROOK SHADOW DR KINGWOOD, TX 77345 | AFLAC | $18 | $0 | $18 | 0.04% |
| RYAN E FRAZIER3 | 220 STONEGATE LN APT B INDIANAPOLIS, IN 46227 | AFLAC | $17 | $0 | $17 | 0.04% |
| NANCY A SHEVLOT3 | 310 E 17TH ST INDIANAPOLIS, IN 46202 | AFLAC | $13 | $0 | $13 | 0.03% |
| RITA J ABRAM3 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $11 | $0 | $11 | 0.02% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DR CARMLE, IN 46033 | AFLAC | $8 | $0 | $8 | 0.02% |
| JOHN P WHELAN3 | 15129 GOODTIME COURT CARMLE, IN 46032 | AFLAC | $6 | $0 | $6 | 0.01% |
| HYLANT GROUP INC3 | PO BOX 40925 INDIANAPOLIS, IN 46240 | AFLAC | $5 | $0 | $5 | 0.01% |
| THOMAS ALEX SHEVLOT3 | 7326 ELM RIDGE DR INDIANAPOLIS, IN 46236 | AFLAC | $4 | $0 | $4 | 0.01% |
| TIMOTHY B ASBY3 | 9247 N MERIDIAN ST STE 205 INDIANAPOLIS, IN 46260 | AFLAC | $2 | $0 | $2 | 0.00% |
| KATIE J FLETCHER3 | 21263 STATE HIGHWAY 148 MARYVILLE, MO 64468 | AFLAC | $1 | $0 | $1 | 0.00% |
| AMY N GEHLHAUSEN3 | 3115 HOWARD DR JASPER, IN 47546 | AFLAC | $1 | $0 | $1 | 0.00% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE SERVICES INC | 111 CONGRESSIONAL BLVD STE 100 CARMEL, IN 46032 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 7.13% |
| NFP INSURANCE SERVICES INC3 | BLDG 2 STE 124 1250 CAPITAL OF TX HWY AUSTN, TX 78746 | STANDARD INSURANCE COMPANY | $563 | $0 | $563 | 1.76% |
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 | 156 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES INC (G2001) | 181 | $1.1M |
| Dental | DELTA DENTAL OF INDIANA | 190 | $71K |
| Vision | VISION SERVICE PLAN | 105 | $11K |
| Life insurance | STANDARD INSURANCE COMPANY | 157 | $32K |
| Short-term disability | AFLAC | 61 | $44K |
| Long-term disability | STANDARD INSURANCE COMPANY | 157 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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.