| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCROBERTS GREGORY A3 | 900 E 96TH ST STE 300 INDIANAPOLIS, IN 462403876 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $120 | $0 | $120 | 6.35% |
| WOLAK WALTER W3 | 220 GIBRALTAR RD STE 350 HORSHAM, PR 190442341 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $108 | $0 | $108 | 5.72% |
| SCHELLENBER MARK A3 | 416 MAIN ST STE 432 PEORIA, IL 616021141 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $78 | $0 | $78 | 4.13% |
| MALLEE JOSEPH P3 | 3701 CORPORATE PKWY STE 320 CENTER VALLEY, PA 180348233 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $27 | $0 | $27 | 1.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ONEAMERICA RETIREMENT SERVICES, LLC EIN 46-5378846 NONE | Participant communication; Distribution (12b-1) fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Participant loan processing; Direct payment from the plan; Shareholder servicing fees; Recordkeeping fees Service code 15 | — | $55K |
| BMO HARRIS BANK, NA EIN 36-2085229 NONE | Trustee (bank, trust company, or similar financial institution); Custodial (securities); Float revenue; Trustee (directed) Service code 19 | — | $0 |
| MATRIX TRUST COMPANY EIN 75-3182674 NONE | Trustee (bank, trust company, or similar financial institution); Float revenue; Custodial (securities); Trustee (directed) Service code 19 | — | $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 | 245 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 73 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 320 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | 31 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 31 | — |
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."
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.