| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HASTINGS WILLIAMS AGENCY, INC.3 | 314 E. MAIN STREET WASHINGTON, IN 47501 | PARAMOUNT DENTAL | $22K | — | $22K | 10.00% |
| HASTINGS WILLIAMS AGENCY, INC.3 | 4634 E. 400 S MONTGOMERY, IN 47558 | AFLAC | $10K | — | $10K | 10.52% |
| MARSHA S TALLEY3 Filed as: MARSHA TALLEY | 4295 W. PEBBLE DRIVE JASPER, IN 47546 | AFLAC | $3K | $134 | $3K | 2.88% |
| CHERYL SEGER3 | 2935 N. CELESTINE ROAD N DUBOIS, IN 47527 | AFLAC | $2K | $222 | $3K | 2.65% |
| ROBIN FROMME3 | 1001 EISENHOWER AVENUE JASPER, IN 47546 | AFLAC | $2K | $147 | $2K | 1.93% |
| KYLE ELLISON3 | 3524 ELMRIDGE DRIVE EVANSVILLE, IN 47711 | AFLAC | $1K | $125 | $2K | 1.71% |
| JAMES R STROSNIDER3 Filed as: JAMES STROSNIDER | 704 SE 11TH STREET WASHINGTON, IN 47501 | AFLAC | $719 | — | $719 | 0.76% |
| LAUREL A SEGER3 Filed as: LAUREL SEGER | 902A MAIN STREET JASPER, IA 47546 | AFLAC | $594 | — | $594 | 0.63% |
| KENZIE DAVES3 | 4453 E. STATE ROAD 56 WINSLOW, IN 47598 | AFLAC | $565 | — | $565 | 0.60% |
| BRANDEE L JUSTUS3 Filed as: BRANDEE L. JUSTUS | 5700 VICTORIA BLUFFS DRIVE NEWBURGH, IN 47630 | AFLAC | $554 | — | $554 | 0.58% |
| AMANDA VANJICKI3 | 953 N. HONEYSUCKLE LANE VINCENNES, IN 47591 | AFLAC | $413 | $128 | $541 | 0.57% |
| KELSEY KIEFER3 | 112 E. 12TH STREET JASPER, IN 47546 | AFLAC | $414 | $5 | $419 | 0.44% |
| ROBERT D WAKE3 Filed as: ROBERT D. WAKE | P.O. BOX 87 WASHINGTON, IN 47501 | AFLAC | $362 | — | $362 | 0.38% |
| CHARLES B LACY JR3 Filed as: CHARLES LACY, JR. & VARIOUS OTHER A | 1431 SLATE RUN ROAD APT. 39 NEW ALBANY, IN 47150 | AFLAC | $165 | $38 | $203 | 0.21% |
| CHRIS A GEHLHAUSEN3 Filed as: CHRIS GEHLHAUSEN | 873 3RD AVENUE JASPER, IN 47546 | AFLAC | $127 | — | $127 | 0.13% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB ROAD FLOYDS KNOBS, IN 47119 | AFLAC | $62 | — | $62 | 0.07% |
| PAUL WILLIAMS3 | 4634 E. 400 S MONTGOMERY, IN 47558 | AFLAC | $32 | — | $32 | 0.03% |
| TY SIMPSON3 | 6116 DEER TRACE COURT GEORGETOWN, IN 47122 | AFLAC | $32 | — | $32 | 0.03% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 314 E. MAIN STREET WASHINGTON, IA 475012914 | VISION SERVICE PLAN | $2K | — | $2K | 3.21% |
| HOOSIER INSURANCE & FINANCIAL SERVI3 | 314 E. MAIN STREET WASHINGTON, IN 47501 | EMC NATIONAL LIFE | $649 | — | $649 | 10.00% |
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 | 523 | 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) | 523 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PARAMOUNT DENTAL | 757 | $219K |
| Vision | VISION SERVICE PLAN | 380 | $68K |
| Life insurance | EMC NATIONAL LIFE | 523 | $6K |
| Other | AFLAC | 114 | $95K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 757 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.