| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE UNDERWRITERS GROUP INC3 Filed as: UNDERWRITERS SERVICE CORPORATION | — | COMPANION LIFE INSURANCE COMPANY | $11K | — | $11K | 3.15% |
| MARK HAHN3 | — | COMPANION LIFE INSURANCE COMPANY | $6K | — | $6K | 1.58% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE LLC | 11420 BLUEGRASS PKWY LOUISVILLE, KY 40299 | AMERICAN UNITED LIFE INSURANCE COMPANY | $10K | — | $10K | 11.57% |
| HOPSTER SHIELDS AGENCY LLC3 | 332 3RD AVE JASPER, IN 475463468 | AMERITAS LIFE INSURANCE CORP | $2K | — | $2K | 10.00% |
| MARSHA S TALLEY3 | 101 PLAZA EAST BLVD STE 317 EVANSVILLE, IN 47715 | AFLAC | $577 | $16 | $593 | 4.75% |
| JANE A. KATTER3 Filed as: JANE KATTER | 902 MAIN ST SUITE A JASPER, IN 47546 | AFLAC | $198 | — | $198 | 1.59% |
| BRANDEE L JUSTUS3 | 5700 VICTORIA BLUFFS DR NEWBURGH, IN 47630 | AFLAC | $161 | $16 | $177 | 1.42% |
| ROBIN FROMME3 | 1001 EISENHOWER AVE JASPER, IA 47546 | AFLAC | $154 | $22 | $176 | 1.41% |
| TARA SCHNAUS3 | 3060 N WALNUT RIDGE CT JASPER, IN 47546 | AFLAC | $150 | — | $150 | 1.20% |
| CHRIS A GEHLHAUSEN3 Filed as: CHRIS GEHLHAUSEN | 873 3RD AVE JASPER, IN 47546 | AFLAC | $76 | — | $76 | 0.61% |
| KIMBERLY MORRIS3 | 3166 EBY RD BOONEVILLE, IN 47601 | AFLAC | $25 | — | $25 | 0.20% |
| ANGELA FAYE PFAFF3 | 2722 S 130 W HUNTINGBURG, IN 47542 | AFLAC | $20 | — | $20 | 0.16% |
| CHRISTINE M PACE3 | 5721 E 400 S SAINT ANTHONY, IN 47575 | AFLAC | $18 | — | $18 | 0.14% |
| JOHN D TYLER3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $12 | — | $12 | 0.10% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB RD FLOYD KNOBS, IN 47119 | AFLAC | $9 | — | $9 | 0.07% |
| CHARLES B LACY JR3 | 204 LINNWOOD AVE SELLERSBURG, IN 47172 | AFLAC | $7 | — | $7 | 0.06% |
| JOHN TYLER & ASSOCIATES3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $7 | — | $7 | 0.06% |
| JAMES M FLETCHER3 | 7325 CLUBHOUSE DR FORT WAYNE, IN 46835 | AFLAC | $5 | — | $5 | 0.04% |
| LLOYD HUGHES3 | 3775 N US 52 LEBANON, IN 48052 | AFLAC | $4 | — | $4 | 0.03% |
| MATTHEW G BERGER3 Filed as: MATTHEW COOK | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $3 | — | $3 | 0.02% |
| JOHN T CLANCY3 | 4025 PETE DYE BLVD CARMEL, IN 46033 | AFLAC | $2 | — | $2 | 0.02% |
| MARK A WOJDA3 | 16258 DOGWWOOD LN PLYMOUTH, IN 46563 | AFLAC | $2 | — | $2 | 0.02% |
| LAWRENCE JOHN KEMPF3 | 2547 S SAINT ANTHONY RD N ST ANTHONY, IN 47575 | AFLAC | $1 | — | $1 | 0.01% |
| AMY N GEHLHAUSEN3 | 3115 HOWARD DR JASPER, IN 47546 | AFLAC | $1 | — | $1 | 0.01% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | $1 | — | $1 | 0.01% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DR CARMEL, IN 46033 | AFLAC | $1 | — | $1 | 0.01% |
| MARSHA S TALLEY3 Filed as: MARSHA TALLEY | 101 PLAZA EAST BLVD STE 317 EVANSVILLE, IN 47715 | AFLAC | $393 | — | $393 | 5.61% |
| BRANDEE L JUSTUS3 | 5700 VICTORIA BLUFFS DR NEWBURGH, IN 47630 | AFLAC | $88 | — | $88 | 1.26% |
| JANE A. KATTER3 Filed as: JANE A KATTER | 902 MAIN ST STE A JASPER, IN 47546 | AFLAC | $72 | — | $72 | 1.03% |
| CHRIS A GEHLHAUSEN3 Filed as: CHRIS GEHLHAUSEN | 873 3RD AVE JASPER, IN 47546 | AFLAC | $34 | — | $34 | 0.49% |
| TARA SCHNAUS3 | 3060 N WALNUT RIDGE CT JASPER, IN 47546 | AFLAC | $27 | — | $27 | 0.39% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB RD FLOYD KNOBS, IN 47119 | AFLAC | $27 | — | $27 | 0.39% |
| KIMBERLY MORRIS3 | 3166 EBY RD BOONEVILLE, IN 47601 | AFLAC | $27 | — | $27 | 0.39% |
| MATTHEW G BERGER3 Filed as: MATTHEW COOK | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $4 | — | $4 | 0.06% |
| JOHN T CLANCY3 Filed as: JOHN CLANCY | 4025 PETE DYE BLVD CARMEL, IN 46032 | AFLAC | $4 | — | $4 | 0.06% |
| MARK A WOJDA3 | 16258 DOGWOOD LN PLYMOUTH, IN 46563 | AFLAC | $4 | — | $4 | 0.06% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | $2 | — | $2 | 0.03% |
| AMY N GEHLHAUSEN3 Filed as: AMY GEHLAUSEN | 3115 HOWARD ST JASPER, IN 47546 | AFLAC | $2 | — | $2 | 0.03% |
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 | 152 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 155 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HEALTH RESOURCES INC | 256 | $86K |
| Vision | AMERITAS LIFE INSURANCE CORP | 235 | $19K |
| Life insurance | AMERICAN UNITED LIFE INSURANCE COMPANY | 183 | $87K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 183 | $87K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INSURANCE COMPANY | 144 | $349K |
| Other(3 contracts, 2 carriers) | AMERICAN UNITED LIFE INSURANCE COMPANY | 183 | $106K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 256 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.