| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RESOURCE BENEFITS GROUP3 | 4020 25TH STREET COLUMBUS, IN 47201 | BARDON INSURANCE GROUP | $7K | — | $7K | 6.65% |
| MEDICAL BENEFITS ADMINISTRATORS5 | 1975 TAMARACK RD NEWARK, OH 43055 | BARDON INSURANCE GROUP | $5K | — | $5K | 4.95% |
| INTEGRATED BENEFITS PARTNERS3 Filed as: INTEGRATED BENEFITS PARTNERS, LLC | 4694 VIOLA DRIVE INDIANAPOLIS, IN 47403 | BARDON INSURANCE GROUP | $3K | — | $3K | 3.24% |
| RESOURCE BENEFITS GROUP3 | 4020 25TH STREET COLUMBUS, IN 47201 | MEDICAL BENEFITS MUTUAL | $2K | — | $2K | 9.11% |
| INTEGRATED BENEFITS PARTNERS3 Filed as: INTEGRATED BENEFITS PARTNERS, LLC | 4694 VIOLA DRIVE BLOOMINGTON, IN 47403 | MEDICAL BENEFITS MUTUAL | $1K | — | $1K | 4.53% |
| RESOURCE BENEFITS GROUP3 | 4020 25TH STREET COLUMBUS, IN 47201 | MEDICAL BENEFITS MUTUAL | $217 | — | $217 | 3.52% |
| INTEGRATED BENEFITS PARTNERS3 Filed as: INTEGRATED BENEFITS PARTNERS, LLC | 4694 VIOLA DRIVE BLOOMINGTON, IN 47403 | MEDICAL BENEFITS MUTUAL | $107 | — | $107 | 1.74% |
| RESOURCE BENEFITS GROUP3 | 4020 25TH STREET COLUMBUS, IN 47201 | MEDICAL BENEFITS MUTUAL | $280 | — | $280 | 9.10% |
| INTEGRATED BENEFITS PARTNERS3 Filed as: INTEGRATED BENEFITS PARTNERS, LLC | 4694 VIOLA DRIVE BLOOMINGTON, IN 47403 | MEDICAL BENEFITS MUTUAL | $139 | — | $139 | 4.52% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDICAL BENEFITS ADMINISTRATORS EIN 31-1249371 CONTRACT | Plan Administrator Service code 14 | — | $12K |
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 | 25 | 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) | 25 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | MEDICAL BENEFITS MUTUAL | 25 | $24K |
| Vision | MEDICAL BENEFITS MUTUAL | 25 | $3K |
| Life insurance | MEDICAL BENEFITS MUTUAL | 25 | $6K |
| Stop-loss / reinsurancereinsurance | BARDON INSURANCE GROUP | 25 | $104K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 25 | — |
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.