| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MJ INSURANCE3 Filed as: MJ INSURANCE, INC | 571 MONON BLVD STE 400 CARMEL, IN 46032 | HARTFORD LIFE AND ACCIDENT | $17K | $4K | $21K | 18.17% |
| WATCHTOWER BENEFITS, LLC3 | 227 W MONROE ST STE 5200 CHICAGO, IL 60606 | HARTFORD LIFE AND ACCIDENT | — | $1K | $1K | 1.29% |
| MJ INSURANCE3 Filed as: MJ INSURANCE, INC | 571 MONON BLVD STE 400 CARMEL, IN 46032 | HARTFORD LIFE AND ACCIDENT | $9K | $2K | $11K | 10.78% |
| ONI RISK PARTNERS INC3 Filed as: ONI RISK PARTNERS | 11711 N MERIDIAN STREET SUITE 700 CARMEL, IN 46032 | HARTFORD LIFE AND ACCIDENT | $6K | — | $6K | 6.10% |
| WATCHTOWER BENEFITS, LLC3 Filed as: WATCHTOWER BENEFITS LLC | 227 W MONROE ST STE 5200 CHICAGO, IL 60606 | HARTFORD LIFE AND ACCIDENT | — | $2K | $2K | 1.59% |
| MJ INSURANCE3 | PO BOX 3430 CARMEL, IN 460823430 | VISION SERVICE PLAN | $1K | — | $1K | 6.65% |
| ONI RISK PARTNERS INC3 | PO BOX 80159 INDIANAPOLIS, IN 46280 | VISION SERVICE PLAN | $510 | — | $510 | 3.35% |
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 | 202 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 113 | $15K |
| Life insurance(2 contracts) | HARTFORD LIFE AND ACCIDENT | 263 | $211K |
| Short-term disability(2 contracts) | HARTFORD LIFE AND ACCIDENT | 263 | $211K |
| Long-term disability(2 contracts) | HARTFORD LIFE AND ACCIDENT | 263 | $211K |
| Other(2 contracts) | HARTFORD LIFE AND ACCIDENT | 263 | $211K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 263 | — |
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.