| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: DRIVER ALLIANT INSURANCE SERVICES I | 320 WEST 57TH STREET NEW YORK, NY 10019 | AETNA LIFE INSURANCE CO. | $20K | — | $20K | 16.54% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 320 WEST 57TH STREET NEW YORK, NY 10019 | MUTUAL OF OMAHA INSURANCE COMPANY | $3K | — | $3K | 6.85% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 509 NORTH 5TH AVENUE SUITE H SANDPOINT, ID 83864 | MUTUAL OF OMAHA INSURANCE COMPANY | $318 | — | $318 | 0.72% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BOULEVARD FLOOR 2 HAUPPAUGE, NY 11788 | MUTUAL OF OMAHA INSURANCE COMPANY | $311 | — | $311 | 0.70% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 320 WEST 57TH STREET NEW YORK, NY 10019 | COMPANION LIFE INSURANCE COMPANY | $4K | — | $4K | 9.52% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC SAN | 701 B STREET FLOOR 6 SAN DIEGO, CA 92101 | COMPANION LIFE INSURANCE COMPANY | $2K | — | $2K | 5.48% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SVCS INC SAN FRAN | 701 B STREET FLOOR 6 SAN DIEGO, CA 92101 | COMPANION LIFE INSURANCE COMPANY | — | $2K | $2K | 3.63% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 320 WEST 57TH STREET NEW YORK, NY 10019 | MUTUAL OF OMAHA INSURANCE COMPANY | $473 | — | $473 | 9.53% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC SAN | 701 B STREET FLOOR 6 SAN DIEGO, CA 92101 | MUTUAL OF OMAHA INSURANCE COMPANY | $272 | — | $272 | 5.48% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SVCS INC SAN FRAN | 701 B STREET FLOOR 6 SAN DIEGO, CA 92101 | MUTUAL OF OMAHA INSURANCE COMPANY | — | $179 | $179 | 3.61% |
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 | 127 | 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) | 127 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 193 | $118K |
| Dental | AETNA LIFE INSURANCE CO. | 193 | $118K |
| Vision | AETNA LIFE INSURANCE CO. | 193 | $118K |
| Life insurance(2 contracts, 2 carriers) | COMPANION LIFE INSURANCE COMPANY | 125 | $47K |
| Short-term disability | MUTUAL OF OMAHA INSURANCE COMPANY | 93 | $44K |
| Other | MUTUAL OF OMAHA INSURANCE COMPANY | 125 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 193 | — |
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.