| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 1125 SANCTUARY PKWY STE 300 ALPHARETTA, GA 30009 | ANTHEM INSURANCE COMPANIES, INC. | $113K | $1K | $114K | 4.50% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | $799 | $7K | 13.62% |
| SUSAN MARIE BARD3 | 7219 DERSTAN RD INDIANAPOLIS, IN 46250 | AFLAC | $3K | $56 | $3K | 5.70% |
| MICHAEL ROBERT YURCZYK3 | 9616 WYOMING TER S BLOOMINGTON, MN 55438 | AFLAC | $552 | — | $552 | 1.18% |
| MICHAEL DUANE ARNOLD3 | 2147 BUTTONBUSH DR PLAINFIELD, IN 46168 | AFLAC | $313 | — | $313 | 0.67% |
| BRIANNA LYNN ROWE3 | 3386 CHALICE CT PLAINFIELD, IN 46168 | AFLAC | $285 | — | $285 | 0.61% |
| COURTNEY RYAN YURCZYK3 | 9616 WYOMING TER S MINNEAPOLIS, MN 55438 | AFLAC | $241 | — | $241 | 0.51% |
| DAVID W SCOTT3 | 131 E EXCHANGE AVE STE 128 FORT WORTH, TX 76164 | AFLAC | $158 | $37 | $195 | 0.42% |
| ROGER HUGH JONES3 | 10524 IBIS RESERVE CIR WEST PALM BEACH, FL 33412 | AFLAC | $172 | $22 | $194 | 0.41% |
| BENJAMIN HUNTER3 | 18401 AVEBURY LN WESTFIELD, IN 46062 | AFLAC | $192 | — | $192 | 0.41% |
| DANIEL L EALY3 | 4955 KERRINGTON BLVD BARGERSVILLE, IN 46106 | AFLAC | $162 | — | $162 | 0.35% |
| LYDIA C CLARK3 | 11882 PINE MEADOW CIR FISHERS, IN 46037 | AFLAC | $133 | — | $133 | 0.28% |
| MARIA N VONDIELINGEN3 | 9912 RIDGE DR INDIANAPOLIS, IN 46250 | AFLAC | $103 | $10 | $113 | 0.24% |
| HOLLY RENEE ASHLEY3 | 720 S RANGELINE RD APT 216 CARMEL, IN 46032 | AFLAC | $103 | — | $103 | 0.22% |
| NAVILLE & ASSOCIATES3 | 5511 MOSER KNOB RD FLOYDS KNOBS, IN 47119 | AFLAC | $82 | — | $82 | 0.17% |
| VICKIE SUE MASTERS3 | 14012 THEODORA LN ALEDO, TX 76008 | AFLAC | $63 | $11 | $74 | 0.16% |
| MARY L WILLIAMS3 | 1102 STEVENS ST STE 1 BRIDGEPORT, TX 76426 | AFLAC | $32 | $8 | $40 | 0.09% |
| JOHN L RADTKE3 | 4524 E FOXMOOR LN LAFAYETTE, IN 47905 | AFLAC | $28 | — | $28 | 0.06% |
| BRANDEE L JUSTUS3 | 5700 VICTORIA BLUFFS DR NEWBURGH, IN 47630 | AFLAC | $28 | — | $28 | 0.06% |
| ASHLEY LYNN SHAW3 | 603 E WASHINGTON ST STE 100 INDIANAPOLIS, IN 46204 | AFLAC | $15 | $6 | $21 | 0.04% |
| FRAN C HARGARTEN III3 | 1140 MOSSY ROCK RD NW KENNESAW, GA 30152 | AFLAC | $15 | $4 | $19 | 0.04% |
| MATTHEW A COOK3 | 10069 BENT TREE LN FISHERS, IN 46037 | AFLAC | $19 | — | $19 | 0.04% |
| JOHN T CLANCY3 | 4025 PETE DYE BLVD CARMEL, IN 46033 | AFLAC | $18 | — | $18 | 0.04% |
| MARK A WOJDA3 | 16258 DOGWOOD LN PLYMOUTH, IN 46563 | AFLAC | $18 | — | $18 | 0.04% |
| JON J SCHAEFER3 | 7352 W BEYERS CT NEW PALENSTINE, IN 46163 | AFLAC | $17 | — | $17 | 0.04% |
| AMY N GEHLHAUSEN3 | 3115 HOWARD DR JASPER, IN 47546 | AFLAC | $15 | — | $15 | 0.03% |
| JULIE ANN RADTKE3 | 4524 E FOXMOOR LN LAFAYETTE, IN 47905 | AFLAC | $15 | — | $15 | 0.03% |
| TIMOTHY B ASBY3 | 9247 N MERIDIAN ST STE 205 INDIANAPOLIS, IN 46260 | AFLAC | $10 | — | $10 | 0.02% |
| MARIA N VONDIELINGEN3 Filed as: MARIA VONDIELINGEN | 6023 DRAWBRIDGE LN INDIANAPOLIS, IN 46250 | AFLAC | $10 | — | $10 | 0.02% |
| JASON A NAVILLE3 | 5511 MOSER KNOB RD FLOYDS KNOBS, IN 47119 | AFLAC | $9 | — | $9 | 0.02% |
| MATTHEW D SMITH3 | 7905 TANCES DR CINCINNATI, OH 45243 | AFLAC | $7 | — | $7 | 0.01% |
| JOHN D TYLER3 | 2131 KILEY WAY EDMOND, OK 73034 | AFLAC | $4 | — | $4 | 0.01% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DR CARMEL, IN 46033 | AFLAC | $3 | — | $3 | 0.01% |
| SILAS J SMITH3 | 4323 CREST DR LAFAYETTE, IN 47905 | AFLAC | $2 | — | $2 | 0.00% |
| KATIE J FLETCHER3 | 21263 STATE HIGHWAY 148 MARYVILLE, MO 64468 | AFLAC | $2 | — | $2 | 0.00% |
| JAMES M FLETCHER3 | 7325 CLUBHOUSE DR FORT WAYNE, IN 46835 | AFLAC | $1 | — | $1 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $547 | $5K | 13.62% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $507 | $4K | 13.73% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $672 | $130 | $802 | 14.32% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $23 | $23 | — |
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 | 221 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 222 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM INSURANCE COMPANIES, INC. | 474 | $2.5M |
| Dental | ANTHEM INSURANCE COMPANIES, INC. | 474 | $2.5M |
| Vision | ANTHEM INSURANCE COMPANIES, INC. | 474 | $2.5M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 224 | $34K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 224 | $49K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 224 | $29K |
| Other(4 contracts, 2 carriers) | AFLAC | 224 | $86K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 474 | — |
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."
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.