| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN HEALTHCARE GROUP, INC.3 Filed as: AMERICAN HEALTHCARE GROUP INC. | 3939 PRIORITY WAY SOUTH DR INDIANAPOLIS, IN 46240 | DELTA DENTAL OF INDIANA | $13K | — | $13K | 10.00% |
| AMERICAN HEALTHCARE GROUP, INC.3 Filed as: AMERICAN HEALTHCARE GROUP INC | 3939 PRIORITY WAY SOUTH DR STE 250 INDIANAPOLIS, IN 462403836 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $4K | $18K | 17.99% |
| AMERICAN HEALTHCARE GROUP, INC.3 Filed as: AMERICAN HEALTHCARE GROUP INC | 3939 PRIORITY WY S DR STE 250 INDIANAPOLIS, IN 46240 | SYMETRA LIFE INSURANCE COMPANY | $8K | — | $8K | 15.00% |
| AMERICAN HEALTHCARE GROUP, INC.3 Filed as: AMERICAN HEALTHCARE GROUP INC. | 2920 3 96TH ST SUITE-C INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES, INC. | $487 | — | $487 | 1.65% |
| AMERICAN HEALTHCARE GROUP, INC.3 Filed as: AMERICAN HEALTHCARE GROUP INC. | 3939 PRIORITY WAY SOUTH DRIVE INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES, INC. | $476 | — | $476 | 1.61% |
| CONNER HEALTH AND BENEFITS INC.3 Filed as: CONNER HEALTH AND BENEFITS, INC. | 8445 KEYSTONE CROSSING BLVD SUITE 200 INDIANAPOLIS, IN 46240 | ANTHEM INSURANCE COMPANIES, INC. | $3 | — | $3 | 0.01% |
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 | 360 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 360 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF INDIANA | 471 | $131K |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 385 | $30K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 974 | $100K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 173 | $54K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 974 | $100K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 974 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 974 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.