| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF MISSOURI LLC | 4435 MAIN ST FL 4 KANSAS CITY, MO 64111 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 4.87% |
| NAVSAV HOLDINGS II, LLC3 | 2625 S 104 ST OMAHA, NE 68144 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 4.03% |
| DIVERSIFIED BENEFITS GROUP LLC3 | 2625 S 104TH ST OMAHA, NE 68144 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $268 | — | $268 | 0.81% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF MISSOURI LLC | 4435 MAIN ST FL 4 KANSAS CITY, MO 64111 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 7.39% |
| NAVSAV HOLDINGS II, LLC3 Filed as: NAVSAV HOLDINGS II LLC | 2625 S 104 ST OMAHA, NE 68144 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 5.54% |
| DIVERSIFIED BENEFITS GROUP LLC3 | 2625 S 104TH ST OMAHA, NE 68144 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $206 | — | $206 | 1.14% |
| NAVSAV HOLDINGS II, LLC3 | 6250 DELAWARE ST STE B BEAUMONT, TX 77706 | VISION SERVICE PLAN | $957 | — | $957 | 5.42% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF MISSOURI, LLC | 4435 MAIN ST 4TH FLOOR KANSAS CITY, MO 64111 | VISION SERVICE PLAN | $950 | — | $950 | 5.39% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF MISSOURI LLC | 4435 MAIN ST FL 4 KANSAS CITY, MO 64111 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $570 | — | $570 | 5.26% |
| NAVSAV HOLDINGS II, LLC3 | 2625 S 104 ST OMAHA, NE 68144 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $435 | — | $435 | 4.01% |
| DIVERSIFIED BENEFITS GROUP LLC3 | 2625 104TH ST OMAHA, NE 68144 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $79 | — | $79 | 0.73% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT E ELLIS | 11261 WRIGHT CIR OMAHA, NE 68144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $858 | $135 | $993 | 9.33% |
| HOVIE AGENCY LLC3 | 11261 WRIGHT CIRCLE OMAHA, NE 68144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $162 | $70 | $232 | 2.18% |
| EDGHILL ENTERPRISES LLC3 | 2701 N 70TH ST APT D87 LINCOLN, NE 68507 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $153 | $10 | $163 | 1.53% |
| MA STILES LLC3 | 12223 CUMING ST OMAHA, NE 68154 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $154 | — | $154 | 1.45% |
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 | 137 | 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) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 152 | $18K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 113 | $21K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 110 | $33K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 132 | $18K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 113 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 152 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.