| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOUCHENS INSURANCE GROUP INC3 Filed as: HOUCHENS INSURANCE GROUP, INC. | 1750 SCOTTSVILLE ROAD SUITE 4 BOWLING GREEN, KY 42104 | HARTFORD LIFE AND ACCIDENT | $22K | $3K | $25K | 24.76% |
| HOUCHENS INSURANCE GROUP INC3 Filed as: HOUCHENS INSURANCE GROUP, INC. | 1750 SCOTTSVILLE ROAD SUITE 4 BOWLING GREEN, KY 42104 | PARAMOUNT DENTAL | $9K | — | $9K | 10.00% |
| HOUCHENS INSURANCE GROUP INC3 Filed as: HOUCHENS INSURANCE GROUP, INC. | 1750 SCOTTSVILLE ROAD SUITE 4 BOWLING GREEN, KS 42104 | PARAMOUNT DENTAL | $2K | — | $2K | 10.00% |
| MARSHA S TALLEY3 Filed as: MARSHA S. TALLEY | 4295 WEST PEBBLE DRIVE JASPER, IN 47546 | AFLAC | $698 | — | $698 | 6.67% |
| JANE A. KATTER3 | PO BOX 81 JASPER, IN 47547 | AFLAC | $174 | — | $174 | 1.66% |
| BRANDEE L JUSTUS3 Filed as: BRANDEE L. JUSTUS | 5700 VICTORIA BLUFFS DRIVE NEWBURGH, IN 47630 | AFLAC | $79 | — | $79 | 0.75% |
| ROBIN FROMME3 | 1001 EISENHOWER AVENUE JASPER, IN 47546 | AFLAC | $77 | — | $77 | 0.74% |
| ERIN SMITH3 | 112 EARLY TIMES BOULEVARD BARDSTOWN, KY 40004 | AFLAC | $64 | — | $64 | 0.61% |
| CHRIS A GEHLHAUSEN3 Filed as: CHRIS GEHLHAUSEN | 873 3RD AVENUE JASPER, IN 47546 | AFLAC | $63 | — | $63 | 0.60% |
| KYLE ELLISON3 Filed as: KYLE R. ELLISON | 3524 ELMRIDGE DRIVE EVANSVILLE, IN 47711 | AFLAC | $57 | — | $57 | 0.54% |
| TARA SCHNAUS3 | 4550 W. 300N JASPER, IN 47546 | AFLAC | $55 | — | $55 | 0.53% |
| ZACHARY ROOSEVELT NUGENT3 | 1806 PAYNE DRIVE GEORGETOWN, IN 47122 | AFLAC | $52 | — | $52 | 0.50% |
| REBECCA ANN DOEPKE3 | 4019 DEER LAKE CIRCLE PROSPECT, KY 40059 | AFLAC | $22 | — | $22 | 0.21% |
| ANGELA FAYE PFAFF3 | 2722 S. 130W HUNTINGBURG, IN 47542 | AFLAC | $20 | — | $20 | 0.19% |
| AMBER NICOLE RICHARDSON3 | 1241 LYNDON LANE RADCLIFF, KY 40160 | AFLAC | $18 | — | $18 | 0.17% |
| CHRISTIE PACE3 | 5721 E. 400S SAINT ANTHONY, IN 47575 | AFLAC | $18 | — | $18 | 0.17% |
| JOHN D TYLER3 Filed as: JOHN D. TYLER | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $11 | — | $11 | 0.11% |
| DAVID WATSON3 | 3912 FALLEN TIMBER DRIVE LOUISVILLE, KY 40241 | AFLAC | $9 | — | $9 | 0.09% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB ROAD FLOYDS KNOBS, IN 47119 | AFLAC | $9 | — | $9 | 0.09% |
| KIMBERLY A. MORRIS3 | 313 W. 20TH STREET HUNTINGBURG, IA 47542 | AFLAC | $8 | — | $8 | 0.08% |
| JOHN TYLER & ASSOCIATES3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $7 | — | $7 | 0.07% |
| JAMES M FLETCHER3 Filed as: JAMES FLETCHER | 7325 CLUBHOUSE DRIVE FORT WAYNE, IN 46835 | AFLAC | $4 | — | $4 | 0.04% |
| MATTHEW A. COOK AND AGENTS3 Filed as: MATTHEW COOK & VARIOUS OTHER AGENT | 10069 BENT TREE LANE FISHERS, IN 46037 | AFLAC | $3 | — | $3 | 0.03% |
| JOHN T CLANCY3 Filed as: JOHN CLANCY | 4025 PETE DYE BOULEVARD CARMEL, IA 46033 | AFLAC | $1 | — | $1 | 0.01% |
| MARK A WOJDA3 Filed as: MARK WOJDA | 16258 DOGWOOD LANE PLYMOUTH, IN 46563 | AFLAC | $1 | — | $1 | 0.01% |
| MARSHA S TALLEY3 Filed as: MARSHA S. TALLEY | 4295 WEST PEBBLE DRIVE JASPER, IN 47546 | AFLAC | $496 | — | $496 | 7.08% |
| BRANDEE L JUSTUS3 Filed as: BRANDEE L. JUSTUS | 5700 VICTORIA BLUFFS DRIVE NEWBURGH, IN 47630 | AFLAC | $90 | — | $90 | 1.29% |
| JANE A. KATTER3 | PO BOX 81 JASPER, IN 47547 | AFLAC | $56 | — | $56 | 0.80% |
| TARA SCHNAUS3 | 3060 NORTH WALNUT RIDGE COURT JASPER, IN 47546 | AFLAC | $29 | — | $29 | 0.41% |
| KIMBERLY A. MORRIS3 | 3166 EBY ROAD BOONVILLE, IN 47601 | AFLAC | $29 | — | $29 | 0.41% |
| CHRIS A GEHLHAUSEN3 Filed as: CHRIS GEHLHAUSEN | 873 3RD AVENUE JASPER, IN 47546 | AFLAC | $26 | — | $26 | 0.37% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB ROAD FLOYDS KNOBS, IN 47719 | AFLAC | $21 | — | $21 | 0.30% |
| KYLE ELLISON3 | 3524 ELMRIDGE DRIVE EVANSVILLE, IN 47711 | AFLAC | $12 | — | $12 | 0.17% |
| JOHN T CLANCY3 Filed as: JOHN CLANCY | 4025 PETE DYE BOULEVARD CARMEL, IN 46033 | AFLAC | $4 | — | $4 | 0.06% |
| MARK A WOJDA3 Filed as: MARK WOJDA | 16258 DOGWOOD LANE PLYMOUTH, IA 46563 | AFLAC | $3 | — | $3 | 0.04% |
| MATTHEW G BERGER3 Filed as: MATTHEW COOK | 10069 BENT TREE LANE FISHERS, IN 46037 | AFLAC | $3 | — | $3 | 0.04% |
| BRIANNA LYNN ROWE3 Filed as: BRIANNA ROWE | 3386 CHALICE COURT PLAINFIELD, IN 46168 | AFLAC | $2 | — | $2 | 0.03% |
| AMY E COHEN3 Filed as: AMY GEHLHAUSEN | 3115 HOWARD DRIVE 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 | 182 | 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) | 182 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PARAMOUNT DENTAL | 295 | $94K |
| Vision | PARAMOUNT DENTAL | 244 | $16K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 289 | $102K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 289 | $102K |
| Other(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 289 | $120K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 295 | — |
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.