| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC | 3755 E 82ND ST, STE 100 INDIANAPOLIS, IN 46240 | NATIONWIDE LIFE INSURANCE COMPANY | $4K | — | $4K | 9.24% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP INC. | 3755 E 82ND STREET SUITE 100 INDIANAPOLIS, IN 46240 | RELIANCE LIFE INSURANCE COMPANY | $2K | $614 | $2K | 22.09% |
| BROKERSUITE INC3 Filed as: BROKERSUITE INC. | 124 WASHINGTON STREET SUITE 302 FOXBORO, MA 02035 | RELIANCE LIFE INSURANCE COMPANY | — | $1K | $1K | 10.87% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP, INC. | 3755 E 82ND STREET, SUITE 100 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $212 | $2K | 24.54% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP, INC. | 3755 E 82ND ST, SUITE 100 INDIANAPOLIS, IN 46240 | RELIANCE LIFE INSURANCE COMPANY | $1K | $203 | $1K | 19.12% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP, INC. | 3755 E 82ND ST, STE 100 INDIANAPOLIS, IN 46240 | EYEMED VISION CARE OBO FIDELITY SECURITY LIFE INSURANCE COMPANY | $535 | — | $535 | 10.07% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP, INC. | 3755 E 82ND STREET, SUITE 100 INDIANAPOLIS, IN 46240 | RELIANCE LIFE INSURANCE COMPANY | $742 | $217 | $959 | 21.03% |
| BROKERSUITE INC3 | 124 WASHINGTON ST, STE 302 FOXBORO, MA 02035 | RELIANCE LIFE INSURANCE COMPANY | — | $494 | $494 | 10.83% |
| BROKERSUITE INC3 | 124 WASHINGTON ST, STE 302 FOXBORO, MA 02035 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $635 | — | $635 | 17.00% |
| NFP INSURANCE SERVICES INC3 Filed as: APEX BENEFITS GROUP, INC. | 3755 E 82ND STREET, SUITE 100 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $179 | $33 | $212 | 5.67% |
| BROKERSUITE INC3 | 124 WASHINGTON ST, STE 302 FOXBORO, MA 02035 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $198 | — | $198 | 17.54% |
| APEX BENEFITS INC3 Filed as: APEX BENEFITS | 3755 E 82ND STREET, SUITE 100 INDIANAPOLIS, IN 46240 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $56 | $16 | $72 | 6.38% |
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 | 104 | 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) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEDICAL EXCESS, INC | 68 | $13K |
| Dental | NATIONWIDE LIFE INSURANCE COMPANY | 121 | $46K |
| Vision | EYEMED VISION CARE OBO FIDELITY SECURITY LIFE INSURANCE COMPANY | 102 | $5K |
| Life insurance(2 contracts) | RELIANCE LIFE INSURANCE COMPANY | 104 | $15K |
| Short-term disability | RELIANCE LIFE INSURANCE COMPANY | 26 | $7K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 31 | $7K |
| Other(4 contracts, 3 carriers) | MEDICAL EXCESS, INC | 104 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 121 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.