| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF INDIANA | P.O. BOX 90380 INDIANAPOLIS, IN 462900380 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $642 | — | $642 | 15.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF INDIANA | 10401 N. MERIDIAN STREET, SUITE 300 INDIANAPOLIS, IN 46290 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $392 | — | $392 | 15.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF INDIANA | 10401 N. MERIDIAN STREET SUITE 300 INDIANAPOLIS, IN 46290 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $339 | — | $339 | 15.01% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF INDIANA | P.O. BOX 90380 INDIANAPOLIS, IN 462900380 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $175 | — | $175 | 15.01% |
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 | 108 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 135 | $4K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 24 | $2K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 132 | $4K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE COMPANY | 108 | $183K |
| Other(2 contracts) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 135 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 135 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.