| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 1251 N EDDY ST STE 201 SOUTH BEND, IN 46617 | SIRIUS AMERICAN INSURANCE CO | — | $38K | $38K | 17.66% |
| AUXIANT3 | 2450 RIMROCK RD MADISON, WI 53713 | SIRIUS AMERICAN INSURANCE CO | $18K | — | $18K | 8.31% |
| TIMOTHY GUY HICKS3 | 509 W 6TH ST MILFORD, IN 46542 | AFLAC | $6K | $166 | $6K | 9.49% |
| ENRIQUE BARRANCO PEREZ3 | 58915 BREMEN HWY MISHAWAKA, IN 46544 | AFLAC | $2K | $106 | $2K | 2.81% |
| LAYNE FINANCIAL INC3 Filed as: LAYNE LEEPER | 707 ASTER CT BOURBON, IN 46504 | AFLAC | $1K | — | $1K | 1.93% |
| AMY L BEER3 | 72067 COUNTY ROAD 19 MILFORD, IN 46542 | AFLAC | $1K | — | $1K | 1.80% |
| JONATHAN DAVID BESWARICK3 | 250 ESTATES DR GIBSONIA, PA 15044 | AFLAC | $934 | $65 | $999 | 1.50% |
| PAUL M MARTINDALE3 | 10255 PRETTY LAKE TRL PLYMOUTH, IN 46563 | AFLAC | $295 | — | $295 | 0.44% |
| H J SPIER CO INC3 | 8250 WOODFIELD CROSSING BLVD INDIANAPOLIS, IN 46240 | AFLAC | $197 | — | $197 | 0.30% |
| CLAYTON HICKS3 | 509 W 6TH ST MILFORD, IN 46542 | AFLAC | $154 | — | $154 | 0.23% |
| SANDY NICOLE GAINES3 | 1610 SUNSET DR ROCHESTER, IN 46975 | AFLAC | $135 | — | $135 | 0.20% |
| STEPHANIE BEDIENT3 | 10570 BROOKSTON DR E OSCEOLA, IN 46561 | AFLAC | $88 | $35 | $123 | 0.18% |
| TRISHA R MASCARENAS3 | 17650 BENTWOOD DR GOSHEN, IN 46526 | AFLAC | $57 | — | $57 | 0.09% |
| CHRISTOPHER MICHAEL CROTHERS3 | 61199 DOGWOOD RD MISHAWAKA, IN 46544 | AFLAC | $50 | — | $50 | 0.08% |
| GRANT DEXTER3 | 16705 16C RD CULVER, IN 46511 | AFLAC | $22 | — | $22 | 0.03% |
| BRYCE N CARMICHAEL3 | 13315 MUTMEG RIDGE DR D PLYMOUTH, IN 46563 | AFLAC | $10 | — | $10 | 0.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | PARAMOUNT DENTAL | $3K | — | $3K | 10.00% |
| TIMOTHY GUY HICKS3 | 509 W 6TH ST MILFORD, IN 46542 | AFLAC | $2K | $62 | $2K | 5.25% |
| LAYNE FINANCIAL INC3 Filed as: LAYNE LEEPER | 707 ASTER CT BOURBON, IN 46504 | AFLAC | $353 | $528 | $881 | 2.71% |
| ANTHONY W MOORE3 | 10242 MULBERRY LN GRANGER, IN 46530 | AFLAC | $458 | — | $458 | 1.41% |
| JASON MICHAEL RICE3 | 52173 PINEDALE CT GRANGER, IN 46530 | AFLAC | $406 | — | $406 | 1.25% |
| AMY L BEER3 | 72067 COUNTY ROAD 19 MILFORD, IN 46542 | AFLAC | $367 | — | $367 | 1.13% |
| LAMANDA TALIE SALING-MORGAN3 | 318 S ELKHART AVE APT 301 ELKHART, IN 46516 | AFLAC | $354 | — | $354 | 1.09% |
| STEPHANIE BEDIENT3 | 10570 BROOKSTON DR E OSCEOLA, IN 46561 | AFLAC | $198 | $97 | $295 | 0.91% |
| JONATHAN DAVID BESWARICK3 | 250 ESTATES DR GIBSONIA, PA 15044 | AFLAC | $235 | $34 | $269 | 0.83% |
| JUDITH STEWART3 | 235 IRONWORKS AVE APT 218 MISHAWAKA, IN 46544 | AFLAC | $257 | — | $257 | 0.79% |
| PAUL M MARTINDALE3 | 10255 PRETTY LAKE TRL PLYMOUTH, IN 46563 | AFLAC | $179 | — | $179 | 0.55% |
| CHRISTOPHER MICHAEL CROTHERS3 | 61199 DOGWOOD RD MISHAWAKA, IN 46544 | AFLAC | $166 | — | $166 | 0.51% |
| ENRIQUE BARRANCO PEREZ3 | 58915 BREMEN HWY MISHAWAKA, IN 46544 | AFLAC | $117 | — | $117 | 0.36% |
| MICHAEL MARK BERARDINO3 | 1124 WOODWARD AVE SOUTH BEND, IN 46616 | AFLAC | $66 | $42 | $108 | 0.33% |
| TORREY A AMSTUTZ3 | 1125 E LAKEWOOD ST SPRINGFIELD, MO 65810 | AFLAC | $58 | — | $58 | 0.18% |
| DAVID R KREMER3 | 20330 CHATHAM HILLS BLVD WESTFIELD, IN 46074 | AFLAC | $43 | — | $43 | 0.13% |
| BERN MCGRANE3 | 4380 3RD RD BREMEN, IN 46506 | AFLAC | $42 | — | $42 | 0.13% |
| EDDIE MAE HANSBOROUGH3 | 1927 ROYS AVE ELKHART, IN 46516 | AFLAC | $40 | — | $40 | 0.12% |
| CAROL J THOMPSON3 | 51717 SUMMER WOOD CT GRANGER, IN 46530 | AFLAC | $31 | — | $31 | 0.10% |
| CURTIS A BRUGH II3 | 10515 SUGAR RIDGE WAY INDIANAPOLIS, IN 46239 | AFLAC | $23 | — | $23 | 0.07% |
| JERAD C CROOKS3 | 540 S MAIN ST BOURBON, IN 46504 | AFLAC | $22 | — | $22 | 0.07% |
| H J SPIER CO INC3 | 8250 WOODFIELD CROSSING BLVD INDIANAPOLIS, IN 46240 | AFLAC | $22 | — | $22 | 0.07% |
| ALICIA NICOLE THORN3 | 9251 E SLEEPY HOLLOW PKWY CROMWELL, IN 46732 | AFLAC | $21 | — | $21 | 0.06% |
| JOHN F GLAUB3 | 54369 30TH ST SOUTH BEND, IN 46635 | AFLAC | $12 | — | $12 | 0.04% |
| MATTHEW M NACHAZEL3 | 16473 BAYWOOD LN GRANGER, IN 46530 | AFLAC | $9 | — | $9 | 0.03% |
| DOUGLAS E FOX3 | 6836 THAYER LAKE DR ALDEN, MI 49612 | AFLAC | $8 | — | $8 | 0.02% |
| TIMOTHY B ASBY3 | 9247 N MERIDIAN ST STE 205 INDIANAPOLIS, IN 46260 | AFLAC | $6 | — | $6 | 0.02% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB RD FLOYDS KNOBS, IN 47119 | AFLAC | $5 | — | $5 | 0.02% |
| MATTHEW A COOK3 | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $3 | — | $3 | 0.01% |
| CARRIE C SCHRAMM3 | 10418 PRETTY LAKE TRL PLYMOUTH, IN 46563 | AFLAC | $3 | — | $3 | 0.01% |
| JOHN T CLANCY3 | 4025 PETE DYE BLVD CARMEL, IN 46033 | AFLAC | $2 | — | $2 | 0.01% |
| MARK A WOJDA3 | 16258 DOGWOOD LN PLYMOUTH, IN 46563 | AFLAC | $2 | — | $2 | 0.01% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DR CARMEL, IN 46033 | AFLAC | $2 | — | $2 | 0.01% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | $1 | — | $1 | 0.00% |
| KATIE J FLETCHER3 | 21263 STATE HIGHWAY 148 MARYVILLE, MO 64468 | AFLAC | $1 | — | $1 | 0.00% |
| AMY N GEHLHAUSEN3 | 3115 HOWARD DR JASPER, IN 47546 | AFLAC | $1 | — | $1 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 95287 CHICAGO, IL 60694 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $63 | $4K | 11.22% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | PARAMOUNT DENTAL | $2K | — | $2K | 10.00% |
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 | 154 | 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) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIRIUS AMERICAN INSURANCE CO | 45 | $217K |
| Dental(2 contracts) | PARAMOUNT DENTAL | 102 | $56K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 299 | $32K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 299 | $32K |
| Short-term disability(2 contracts) | AFLAC | 51 | $99K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 299 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 299 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.