| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CONNER HEALTH AND BENEFITS INC.3 Filed as: CONNER HEALTH AND BENEFITS INC | 8445 KEYSTONE CROSSING BLVD STE 200 INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES, INC. | $11K | — | $11K | 0.58% |
| CONNER HEALTH AND BENEFITS INC.3 Filed as: CONNER HEALTH AND BENEFITS INC | 8445 KEYSTONE CROSSING BLVD STE 200 INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES, INC. | $74K | — | $74K | 15.00% |
| CONNER HEALTH AND BENEFITS INC.3 Filed as: CONNER HEALTH AND BENEFITS | 8445 KEYSTONE CROSSING BLVD STE 200 INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES, INC. | $7K | — | $7K | 8.07% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 SERVICES AND FEES | Claims processing; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Other services Service code 12 | — | $613K |
| REA LOGAN & CO LLC EIN 26-1194602 AUDITOR | Accounting (including auditing) Service code 10 | 220 S NORTON ST MARION, IN 46952 | $9K |
| CONNER BENEFITS INC. SALES AND BASE COMMISSION | Other commissions; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 8445 KEYSTONE CROSSING INDIANAPOLIS, IN 46240 | $0 |
| EXPRESS SCRIPTS INC EIN 31-1714795 PRESCRIPTION DRUG REBATES | Contract Administrator; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $0 |
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 | 1,228 | 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) | 1,228 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ANTHEM INSURANCE COMPANIES, INC. | 968 | $497K |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 970 | $88K |
| Stop-loss / reinsurancereinsurance | ANTHEM INSURANCE COMPANIES, INC. | 1,228 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,228 | — |
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.