| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ERTEL & COMPANY, INC.3 Filed as: ERTEL & COMPANY--CHRISTOPHER BURTON | 9795 CROSSPOINT BLVD STE 170 INDIANAPOLIS, IN 46256 | DELTA DENTAL OF INDIANA | $11K | $0 | $11K | 1.86% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES--DOUGLAS | 7701 AIRPORT CENTER DR STE 1800 GREENSBORO, NC 27409 | DELTA DENTAL OF INDIANA | $2K | $0 | $2K | 0.40% |
| ASSET SUPERHEROES3 Filed as: ASSET SUPERHEROES INC DBA CLEVENGER | 525 E CENTER ST WARSAW, IN 46580 | DELTA DENTAL OF INDIANA | $2K | $0 | $2K | 0.33% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES IL INC. | 500 W. MADISON ST STE 2760 CHICAGO, IL 60661 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $9K | $9K | 2.28% |
| ASSUREDPARTNERS3 Filed as: SHEPHERD INSURANCE LLC | 111 CONGRESSIONAL BLVD STE 100 CARMEL, IN 46032 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $713 | $2K | 0.61% |
| EMERSON REID LLC3 | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | PRINCIPAL LIFE INSURANCE COMPANY | $684 | $712 | $1K | 0.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 NONE | Claims processing; Other services; Direct payment from the plan Service code 12 | — | $1.3M |
| NFP CORPORATE SERVICES NONE | Direct payment from the plan; Consulting (general); Plan Administrator Service code 14 | 340 MADISON AVENUE NEW YORK, NY 10173 | $640K |
| ORTHUS HEALTH EIN 26-1896258 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $209K |
| ERTEL & COMPANY, INC. EIN 35-1973038 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $107K |
| CAPSTONE BENEFITS GROUP EIN 35-2260019 NONE | Direct payment from the plan; Consulting (general); Plan Administrator Service code 14 | — | $82K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing; Direct payment from the plan; Other services Service code 12 | — | $74K |
| VITAL INCITE LLC EIN 82-3614359 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $67K |
| GALLAGHER BENEFIT SERVICES, INC. EIN 36-4291971 NONE | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | — | $60K |
| BRAVO WELLNESS LLC EIN 61-1739182 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $52K |
| TAFT STETTINIUS & HOLLISTER LLP EIN 31-0541755 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $49K |
| THE HOWARD E.NYHART CO. EIN 35-0966414 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $49K |
| BOSE MCKINNEY & EVANS LLP EIN 35-0957980 NONE | Legal; Direct payment from the plan Service code 29 | — | $37K |
| OGLETREE DEAKINS EIN 57-1044820 NONE | Legal; Direct payment from the plan Service code 29 | — | $32K |
| DONALDSON CAPITAL MANAGEMENT EIN 35-1937665 NONE | Investment management; Securities brokerage; Investment management fees paid directly by plan Service code 28 | — | $32K |
| SHEPHERD INSURANCE LLC EIN 45-3540375 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $30K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $26K |
| BUSINESSSOLVER.COM, INC. EIN 42-1503807 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $25K |
| SYCAMORE INSURANCE ASSOCIATES LLC EIN 27-3200291 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | — | $24K |
| APEX BENEFITS GROUP, INC. EIN 38-3681922 NONE | Insurance agents and brokers; Direct payment from the plan; Insurance brokerage commissions and fees Service code 22 | — | $22K |
| KEYSTONE INSURANCE & BENEFITS GROUP EIN 27-0367008 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $20K |
| MCGRIFF INSURANCE SERVICES, INC. EIN 56-1623293 NONE | Direct payment from the plan; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $19K |
| ASSET SUPERHEROES, INC. EIN 81-4184677 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Direct payment from the plan Service code 22 | — | $19K |
| BENEFITS 7, INC. EIN 35-1754186 NONE | Insurance brokerage commissions and fees; Direct payment from the plan; Insurance agents and brokers Service code 22 | — | $11K |
| CLIPPINGER FINANCIAL GROUP, LLC EIN 35-2015501 NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Direct payment from the plan Service code 22 | — | $5K |
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 | 2,923 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 69 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,992 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ZURICH AMERICAN INSURANCE COMPANY | 216 | $8K |
| Dental | DELTA DENTAL OF INDIANA | 1,986 | $597K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 1,867 | $122K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 1,549 | $377K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,549 | $377K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,549 | $377K |
| Prescription drug | ANTHEM BLUE CROSS AND BLUE SHIELD | 4 | $12K |
| Stop-loss / reinsurancereinsurance | UNITED HEALTHCARE - BP | 2,511 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,511 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.