| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RONALD F REMAK INSURANCE INC3 Filed as: RONALD F. REMAK INSURANCE INC. | 306 S STATE ROAD 446 BLOOMINGTON, IN 47401 | DELTA DENTAL | $11K | — | $11K | 9.19% |
| KYLE ELLISON3 | 1281 E. MARIGOLD DRIVE BLOOMINGTON, IN 47401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18K | — | $18K | 24.24% |
| ROBERT W BURGETT3 | 2601 FORTUNE CIRCLE EAST SUITE 103A INDIANAPOLIS, IN 46241 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 3.96% |
| PETER J EMMERT3 Filed as: PETER EMMERT | 5904 OAKFORGE LANE INDIANAPOLIS, IN 46254 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 2.33% |
| DANIEL R HARPER JR3 Filed as: DANIEL R. HARPER, JR. | 101 WINDSONG COURT GASTONIA, NC 28056 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.42% |
| RONALD F REMAK INSURANCE INC3 Filed as: RONALD F. REMAK INSURANCE INC. | 306 S STATE ROAD 446 BLOOMINGTON, IN 47401 | RELIANCE STANDARD | $4K | $1K | $5K | 9.54% |
| RONALD F REMAK INSURANCE INC3 Filed as: RONALD F. REMAK INSURANCE INC. | 306 S STATE ROAD 446 BLOOMINGTON, IN 47401 | RELIANCE STANDARD | $4K | $665 | $4K | 13.60% |
| RONALD F REMAK INSURANCE INC3 Filed as: RONALD F. REMAK INSURANCE INC. | 306 S STATE ROAD 446 BLOOMINGTON, IN 47401 | VSP | $1K | — | $1K | 4.80% |
| RONALD F REMAK INSURANCE INC3 Filed as: RONALD F. REMAK INSURANCE INC. | 306 S STATE ROAD 446 BLOOMINGTON, IN 47401 | RELIANCE STANDARD | $3K | $540 | $4K | 14.99% |
| RONALD F REMAK INSURANCE INC3 Filed as: RONALD F. REMAK INSURANCE INC. | 306 S STATE ROAD 446 BLOOMINGTON, IN 47401 | RELIANCE STANDARD | $2K | $642 | $2K | 13.53% |
| KYLE ELLISON3 | 1281 E MARIGOLD DRIVE BLOOMINGTON, IN 47401 | AFLAC | $111 | $113 | $224 | 20.95% |
| ROBERT BURGETT3 | 1701 W. 18TH STREET SUITE A INDIANAPOLIS, IN 46202 | AFLAC | $25 | $28 | $53 | 4.96% |
| PETER J EMMERT3 Filed as: PETER EMMERT | 5904 OAKFORGE LANE INDIANAPOLIS, IN 46254 | AFLAC | $16 | $28 | $44 | 4.12% |
| PETER J EMMERT3 Filed as: PETER EMMERT | 1701 W. 18TH STREET SUITE A INDIANAPOLIS, IN 46202 | AFLAC | $28 | $0 | $28 | 2.62% |
| BIANCA EUCLIDE3 | 1048 W. 17TH STREET BLOOMINGTON, IN 47404 | AFLAC | $13 | $8 | $21 | 1.96% |
| RONALD F REMAK INSURANCE INC3 Filed as: RONALD F. REMAK INSURANCE INC. | 306 S STATE ROAD 446 BLOOMINGTON, IN 47401 | SIHO | $11K | $71K | $82K | — |
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 | 299 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 299 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CORPORATE MANAGEMENT SERVICES | 332 | $5K |
| Dental | DELTA DENTAL | 354 | $124K |
| Vision | VSP | 181 | $28K |
| Life insurance(2 contracts) | RELIANCE STANDARD | 253 | $44K |
| Short-term disability(3 contracts, 2 carriers) | RELIANCE STANDARD | 253 | $81K |
| Long-term disability | RELIANCE STANDARD | 253 | $32K |
| Prescription drug | SIHO | 332 | $0 |
| Other(3 contracts, 3 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 253 | $124K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 354 | — |
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.