| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES MICHAEL FLAHERTY3 | 202 W LOUISIANA MCKINNEY, TX 75069 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $33K | $49K | $82K | 14.01% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF INDIANA LLC | 10401 N MERIDIAN ST INDIANAPOLIS, IN 46290 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $72K | $4K | $76K | 12.98% |
| GLADY R ROWAN3 | 202 W LOUISIANA MCKINNEY, TX 75069 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | $14K | $23K | 3.86% |
| CHRISTOPHER ALAN DARWIN3 | 258 CONVENTION DR MCKINNEY, TX 75069 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $7K | $14K | 2.34% |
| JORGE ALEJANDRO MONTEMAYOR3 Filed as: JORGE H CASTELLANOS | 7441 FIGURA DRIVE JUSTICE, IL 60458 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | $1K | $11K | 1.89% |
| DAVID HAMPTON3 | 4910 W ARLINGTON PARK BLVD FT WAYNE, IN 46835 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8K | $836 | $9K | 1.54% |
| YESENIA A SANCHEZ3 Filed as: YESENIA A HERNANDEZ | 4037 W 63RD ST CHICAGO, IL 60629 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $754 | $8K | 1.31% |
| DAVID ROY CLEVELAND3 | 4925 MARCUS AVE ADDISON, TX 75001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $2K | $7K | 1.27% |
| WILLIAM CASEY MURCH3 | 208 LAMONT RD ANNA, TX 75409 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $59 | $7K | 1.21% |
| CYNTHIA M ANGEL3 | 1320 DOVE BROOK DRIVE ALLEN, TX 75002 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $892 | $7K | 1.12% |
| TROY TAYLOR3 | 11276 HARRINGTON LANE FISHERS, IN 46038 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $846 | $6K | 0.97% |
| ELENA RYBACK3 | 824 CALHOUN ST MISHAWAKA, IN 46545 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $151 | $4K | 0.72% |
| MERRILL W SCHOENROCK3 | 14721 BEACON BLVD CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $255 | $4K | 0.67% |
| SHERRIE LYNN BUCHANAN3 | 815 SAVANNAH DR SUITE A COLUMBUS, OH 43228 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $686 | $4K | 0.66% |
| DIANA RAUCH3 | 3693 ROCHFORT BRIDGE DR COLUMBUS, OH 43221 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $375 | $4K | 0.63% |
| BRENDA BOWLING-MORROW3 | 7525 WEST MOORESVILLE RD CAMBY, IN 46113 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $52 | $4K | 0.62% |
| BRANDON TYLER LYNN3 | 7532 JENISON DRIVE INDIANAPOLIS, IN 46217 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $84 | $4K | 0.62% |
| ROBERT EARL PETERS3 | 307 GARDENDALE ROAD TERRE HAUTE, IN 47803 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $280 | $3K | 0.56% |
| LYLA LYNN GREENE3 | PO BOX 688 WASHINGTON, IN 47501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 0.47% |
| WILLETTA GRAVES3 | 5242 S DREXEL AVE CHICAGO, IL 60615 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $600 | $3K | 0.47% |
| ROBERTA DICKINSON3 Filed as: ROBERTA J BAKKEN | 8012 W CORNING RD PEOTONE, IL 60468 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $160 | $2K | 0.41% |
| JOSHUA T JONES3 | 25 GARFIELD LN STEAMWOOD, IL 60107 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $1K | $2K | 0.41% |
| ENRIQUE A ERVESUN3 | 12647 BROADMOOR CT S FISHERS, IN 46037 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 0.40% |
| MARK CHRISTOPHER MOTZ3 | 85 EPERNAY AVENUE PATASKALA, OH 43062 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $328 | $2K | 0.35% |
| RICARDO ACEVEDO3 Filed as: RICARDO MUNOZ | 2993 CURTIS STREET DES PLAINES, IL 60018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $26 | $1K | 0.24% |
| DAVID TODD WEINSTEIN3 | 601 W JACKSON BLVD UNIT 912 CHICAGO, IL 60661 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $787 | $278 | $1K | 0.18% |
| LINDA JO HENDRICKSON3 | 4625 W ABINGTON WAY INDIANAPOLIS, IN 46254 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $972 | — | $972 | 0.17% |
| LYDIA C CLARK3 | 11882 PINE MEADOW CR FISHERS, IN 46037 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $731 | $205 | $936 | 0.16% |
| AARON VANPELT INC3 | 755 W CARMEL DR CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $581 | $206 | $787 | 0.13% |
| AMANDA NETHERCUTT3 | 602 W JACKSON ST ALEXANDRIA, IN 46001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $717 | $55 | $772 | 0.13% |
| BILLY KIRKHAM3 | PO BOX 2701 TERRE HAUTE, IN 47802 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $535 | $166 | $701 | 0.12% |
| ROGLE INC3 | 2108 N PENNSYLVANIA ST INDIANAPOLIS, IN 46202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $418 | $283 | $701 | 0.12% |
| HEATHER MARIE KASSELMAN3 | 19363 PACIFICA PL NOBLESVILLE, IN 46060 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $427 | $133 | $560 | 0.10% |
| VOLUNTARY BENEFIT PLANS LLC3 | PO BOX 51590 INDIANAPOLIS, IN 46251 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $418 | — | $418 | 0.07% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH INSURANCE LLC | 404 VIRGINIA ST STURGIS, MI 49091 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $336 | $54 | $390 | 0.07% |
| PARRISH J PEACHEE3 | 109 N UNION STREET WESTFIELD, IN 46074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $291 | $9 | $300 | 0.05% |
| INTEGRATED EMPLOYEE BENEFIT SOLUTIO3 | 8490 MALLARD CT PLAIN CITY, OH 43064 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $261 | $9 | $270 | 0.05% |
| EDGHILL ENTERPRISES LLC3 | 1420 WEST Q ST LINCOLN, NE 68528 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $191 | $47 | $238 | 0.04% |
| JENNIFER LOEFFLER3 | 4455 MASON RD CANAL WINCHESTER, OH 43110 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $70 | $136 | $206 | 0.04% |
| ELASIUS BONNER3 | 974 ROSEFIELD LANE AURORA, IL 60504 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $97 | $88 | $185 | 0.03% |
| LISA R CANFIELD3 | 324 STRAW COURT PATASKALA, OH 43062 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $70 | $49 | $119 | 0.02% |
| SCOTT GARRIGA3 | 224 CREPE MYRTLE LANE MURPHY, TX 75094 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $113 | — | $113 | 0.02% |
| BRAYDEN SHAYNE KIRKHAM3 | 103 WEST JEFFERSON SHELBURN, IN 47879 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $83 | — | $83 | 0.01% |
| JEFFREY LUXENBERG3 | 307 LONGTREE LANE LOGANSPORT, IN 46947 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | $47 | $57 | 0.01% |
| AARON STUDEBAKER3 | 602 WEST JACKSON ST. ALEXANDRIA, IN 46001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $32 | $13 | $45 | 0.01% |
| KEVIN MURPHY3 Filed as: KEVIN ARMSTRONG INSURANCE INC. | 4027 WEST FAIDLEY GRAND ISLAND, NE 68803 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | $20 | $36 | 0.01% |
| MICHAEL EDWARD LEES3 | 40 GARFIELD DENVER, CO 80206 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $1 | $3 | 0.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS OF INDIANA LLC | 8888 KEYSTONE CROSSING STE 550 INDIANAPOLIS, IN 46240 | SYMETRA LIFE INSURANCE COMPANY | $18K | — | $18K | 4.21% |
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 | 1,662 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,679 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,407 | $255K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 1,844 | $421K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 1,844 | $421K |
| Stop-loss / reinsurancereinsurance | TOKIO MARINE | 1,729 | $572K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,844 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,844 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.