No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OUR HEALTH, LLC N/A | Other services Service code 49 | ONE AMERICAN SQUARE, SUITE 2610 INDIANAPOLIS, IN 46282 | $1.1M |
| ANTHEM INSURANCE COMPANIES INC EIN 35-0781558 N/A | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services; Claims processing; Other fees Service code 12 | — | $833K |
| ANTHEM INSURANCE COMPANIES, INC. | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator Service code 12 | — | $120K |
| GIBSON INSURANCE AGENCY, INC. | Other commissions; Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | — | $87K |
| GIBSON INSURANCE AGENCY INC. N/A | Insurance agents and brokers; Insurance brokerage commissions and fees; Other commissions Service code 22 | P. O. BOX 11177 SOUTH BEND, IN 46634 | $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 | 894 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 900 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | ANTHEM INSURANCE COMPANIES INC | 2,564 | $853K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,564 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.