| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF INDIANA LLC | 10401 NORTH MERIDIAN STREET SUITE 300 INDIANAPOLIS, IN 46290 | ANTHEM INSURANCE COMPANIES, INC. | $24K | — | $24K | 1.88% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF INDIANA LLC | 9247 NORTH MERIDIAN STREET SUITE 300 INDIANAPOLIS, IN 46260 | ANTHEM INSURANCE COMPANIES, INC. | $18K | — | $18K | 1.39% |
| RONALD F REMAK INSURANCE INC3 Filed as: RONALD F REMAK INSURANCE INC. | 306 STATE ROAD 446 BLOOMINGTON, IN 47401 | ANTHEM INSURANCE COMPANIES, INC. | $284 | — | $284 | 0.02% |
| RON REMAK INSURANCE, INC.3 Filed as: RON F REMAK | 306 SOUTH STATE ROAD 446 BLOOMINGTON, IN 47401 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 1.87% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF INDIANA LLC | 9247 NORTH MERIDIAN STREET SUITE 200 INDIANAPOLIS, IN 46260 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 1.09% |
| HORIZON PLANNING GROUP3 | 9000 KEYSTONE CROSSING SUITE 300 INDIANAPOLIS, IN 46240 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $13 | — | $13 | 0.01% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF INDIANA LLC | 9247 NORTH MERIDIAN STREET SUITE 300 INDIANAPOLIS, IN 46260 | AMERICAN UNITED LIFE INSURANCE COMPANY | $5K | — | $5K | 4.84% |
| RONALD F REMAK INSURANCE INC3 Filed as: RONALD F REMAK | 306 SOUTH STATE ROAD 446 BLOOMINGTON, IN 47401 | AMERICAN UNITED LIFE INSURANCE COMPANY | $4K | — | $4K | 4.47% |
| MICKY L BRAFFORD3 | 306 STATE ROAD 446 BLOOMINGTON, IN 47401 | AMERICAN UNITED LIFE INSURANCE COMPANY | $1K | — | $1K | 1.20% |
| LOCASCIO HADDEN & DENNIS LLC3 | 250 WEST 96TH STREET SUITE 350 INDIANAPOLIS, IN 46260 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 8.29% |
| LOCASCIO HADDEN & DENNIS LLC3 Filed as: LOCASCIO HADDEN & DENNIS | 250 WEST 96TH STREET SUITE 350 INDIANAPOLIS, IN 462601317 | VISION SERVICE PLAN | $514 | — | $514 | 2.57% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF INDIANA, LLC | DBA TOBIAS INSURANCE GROUP 10401 NORTH MERIDIAN STREET INDIANAPOLIS, IN 462901113 | VISION SERVICE PLAN | $484 | — | $484 | 2.42% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF INDIANA LLC | 9247 NORTH MERIDIAN STREET SUITE 200 INDIANAPOLIS, IN 46260 | AMERICAN UNITED LIFE INSURANCE COMPANY | $1K | — | $1K | 7.34% |
| LOCASCIO HADDEN & DENNIS LLC3 Filed as: LOCASCIO HADDEN AND DENNIS LLC | 250 WEST 96TH STREET SUITE 350 INDIANAPOLIS, IN 46260 | AMERICAN UNITED LIFE INSURANCE COMPANY | $1K | — | $1K | 6.70% |
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 | 203 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 403 | $1.3M |
| Dental(2 contracts) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 212 | $160K |
| Vision | VISION SERVICE PLAN | 193 | $20K |
| Life insurance(2 contracts) | AMERICAN UNITED LIFE INSURANCE COMPANY | 217 | $112K |
| Long-term disability(2 contracts) | AMERICAN UNITED LIFE INSURANCE COMPANY | 217 | $112K |
| Other(2 contracts) | AMERICAN UNITED LIFE INSURANCE COMPANY | 217 | $112K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 403 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.