| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF INDIANA, LLC | 10401 N MERIDIAN ST STE 300 INDIANAPOLIS, IN 46036 | VISION SERVICE PLAN | $3K | — | $3K | 2.34% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OFINDIANA LLC | 10401 N MERIDIAN ST SUITE 300 INDIANAPOLIS, IN 46290 | ANTHEM LIFE INSURANCE COMPANY | $10K | — | $10K | 9.54% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS NL LLC | 4500 TOWN CENTER BLVD SUITE 200 JEFFERSONVILLE, IN 47130 | ANTHEM LIFE INSURANCE COMPANY | — | $2K | $2K | 1.68% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM INSURANCE COMPANIES, INC. EIN 35-0781558 HEALTH/DENTAL ADMIN | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services Service code 12 | — | $535K |
| DELTA DENTAL OF INDIANA EIN 35-1545647 BENEFIT ADMIN | Claims processing; Contract Administrator Service code 12 | — | $25K |
| INGENIORX, INC. EIN 82-3062245 RX ADMIN | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator Service code 12 | — | $17K |
| ASSUREDPARTNERS OF INDIANA, LLC EIN 90-0927571 BASE COMMISSION PAID | Insurance brokerage commissions and fees; Other commissions; Insurance agents and brokers Service code 22 | — | $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 | 605 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 23 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 633 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 476 | $113K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 504 | $100K |
| Short-term disability | ANTHEM LIFE INSURANCE COMPANY | 504 | $100K |
| Long-term disability | ANTHEM LIFE INSURANCE COMPANY | 504 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 504 | — |
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.