| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PROFESSIONAL INS ENROLLERS LLC3 Filed as: PROFESSIONAL INS ENROLLMENTS LLC/CH | — | PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC | $22K | — | $22K | 1.78% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC/THOMAS CASSADY | — | PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC | $15K | — | $15K | 1.26% |
| PROFESSIONAL INSURANCE ENROLLERS3 Filed as: PROFESSIONAL INSURANCE ENROLLERS, L | 54369 30TH STREET SOUTH BEND, IN 46635 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $2K | $7K | 15.65% |
| MARSH & MCLENNAN AGENCY LLC3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 3.80% |
| PROFESSIONAL INSURANCE ENROLLERS3 Filed as: PROFESSIONAL INSURANCE ENROLLERS, L | 54369 30TH STREET SOUTH BEND, IN 46635 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $5K | 15.74% |
| MARSH & MCLENNAN AGENCY LLC3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 3.68% |
| GLAUB CHRISTOPHER O PROFESSIONAL IN3 | 10147 PRETTY LAKE TRAIL PLYMOUTH, IN 46563 | HEALTH RESOURCES INC. | $2K | — | $2K | 7.54% |
| THE HORTON GROUP3 Filed as: CASSADY THOMAS R THE HORTON GROUP I | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | HEALTH RESOURCES INC. | $704 | — | $704 | 2.46% |
| PROFESSIONAL INSURANCE ENROLLERS3 Filed as: PROFESSIONAL INSURANCE ENROLLERS, L | 54369 30TH STREET SOUTH BEND, IN 46635 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 15.66% |
| MARSH & MCLENNAN AGENCY LLC3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $928 | — | $928 | 3.86% |
| GLAUB CHRISTOPHER O PROFESSIONAL IN3 | 10147 PRETTY LAKE TRAIL PLYMOUTH, IN 46563 | HEALTH RESOURCES INC. | $2K | — | $2K | 7.66% |
| THE HORTON GROUP3 Filed as: CASSADY THOMAS R THE HORTON GROUP I | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | HEALTH RESOURCES INC. | $524 | — | $524 | 2.35% |
| PROFESSIONAL INSURANCE ENROLLERS3 | 10418 PRETTY LAKE TRAIL PLYMOUTH, IN 46563 | VISION SERVICE PLAN | $914 | — | $914 | 4.68% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCCLENNAN COMPANIES INC. | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | VISION SERVICE PLAN | $492 | — | $492 | 2.52% |
| GLAUB CHRISTOPHER O PROFESSIONAL IN3 | 10147 PRETTY LAKE TRAIL PLYMOUTH, IN 46563 | HEALTH RESOURCES INC. | $1K | — | $1K | 7.57% |
| THE HORTON GROUP3 Filed as: THE HORTON GROUP INC | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | HEALTH RESOURCES INC. | $409 | — | $409 | 2.43% |
| PROFESSIONAL INSURANCE ENROLLERS3 Filed as: PROFESSIONAL INSURANCE ENROLLERS, L | 54369 30TH STREET SOUTH BEND, IN 46635 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $476 | $2K | 15.67% |
| MARSH & MCLENNAN AGENCY LLC3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $404 | — | $404 | 3.79% |
| PROFESSIONAL INSURANCE ENROLLERS3 Filed as: PROFESSIONAL INSURANCE ENROLLERS, L | 54369 30TH STREET SOUTH BEND, IN 46635 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $398 | $2K | 19.22% |
| MARSH & MCLENNAN AGENCY LLC3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $466 | — | $466 | 5.35% |
| PROFESSIONAL INSURANCE ENROLLERS3 Filed as: PROFESSIONAL INSURANCE ENROLLERS, L | 54369 30TH STREET SOUTH BEND, IN 46635 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $896 | $309 | $1K | 18.94% |
| MARSH & MCLENNAN AGENCY LLC3 | 10320 ORLAND PARKWAY ORLAND PARK, IL 60467 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $376 | — | $376 | 5.91% |
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 | 168 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | PHYSICIANS HEALTH PLAN OF NORTHERN INDIANA INC | 90 | $1.2M |
| Dental(3 contracts) | HEALTH RESOURCES INC. | 57 | $68K |
| Vision | VISION SERVICE PLAN | 153 | $20K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 172 | $35K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 172 | $45K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 44 | $33K |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 172 | $50K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 172 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.