| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEELE INSURANCE3 Filed as: STEELE INS. & FINANCIAL SVCS., INC. | 9020 CRAWFORDSVILLE ROAD INDIANAPOLIS, IN 46234 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12K | $0 | $12K | 1.80% |
| KYLE ELLISON3 Filed as: KYLE REED ELLISON | 3524 ELMRIDGE DRIVE EVANSVILLE, IN 47711 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 0.34% |
| MARSHA S TALLEY3 Filed as: MARSHA S. TALLEY | 4295 WEST PEBBLE DRIVE JASPER, IN 47546 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 0.32% |
| MCGOWAN INSURANCE GROUP, LLC3 | 355 INDIANA AVENUE INDIANAPOLIS, IN 46204 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 0.25% |
| HAYS COMPANIES, INC.3 | 655 NORTH FRANKLIN STREET SUITE 1900 TAMPA, FL 33602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 0.22% |
| DANIEL CLEMENT3 Filed as: DANIEL CLEMENT AND OTHER AGENTS | 1315 WEST 6TH STREET BLOOMINGTON, IN 47404 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 0.19% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF INDIANA, LLC | 11595 NORTH MERIDIAN STREET SUITE 250 CARMEL, IN 46032 | CONTINENTAL AMERICAN INSURANCE COMPANY | $868 | $0 | $868 | 0.13% |
| MCGOWAN INSURANCE GROUP, LLC3 | 355 INDIANA AVENUE, SUITE 200 INDIANAPOLIS, IN 46204 | STANDARD INSURANCE COMPANY | $36K | $0 | $36K | 6.39% |
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 | 351 | 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) | 351 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | STANDARD INSURANCE COMPANY | 351 | $563K |
| Vision | STANDARD INSURANCE COMPANY | 351 | $563K |
| Life insurance | STANDARD INSURANCE COMPANY | 351 | $563K |
| Short-term disability | STANDARD INSURANCE COMPANY | 351 | $563K |
| Long-term disability | STANDARD INSURANCE COMPANY | 351 | $563K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 351 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 351 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.