| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LTD | 401 BROADHOLLOW RD SUITE 200 MELVILLE, NY 117474708 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $2K | $13K | 7.81% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON CHAPMAN | PO BOX 9201 AUSTIN, TX 78766 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 2.62% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 2.14% |
| GROUP INSURANCE SERVICES INC5 | 1607 N AURORA RD SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $989 | $989 | 0.58% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LTD | 401 BROADHOLLOW RD SUITE 200 MELVILLE, NY 117474708 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $21K | $3K | $24K | 24.83% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON CHAPMAN | PO BOX 9201 AUSTIN, TX 78766 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $9K | $9K | 9.88% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $9K | $9K | 9.53% |
| GROUP INSURANCE SERVICES INC5 | 1607 N AURORA RD SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 2.43% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LTD | 401 BROADHOLLOW RD SUITE 200 MELVILLE, NY 117474708 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $23K | $4K | $28K | 29.68% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $12K | $12K | 12.37% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON CHAPMAN | PO BOX 9201 AUSTIN, TX 78766 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $10K | $10K | 10.42% |
| GROUP INSURANCE SERVICES INC5 | 1607 N AURORA RD SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 2.41% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LTD | 401 BROADHOLLOW RD SUITE 200 MELVILLE, NY 117474708 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $2K | $11K | 22.05% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 9.13% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 Filed as: BOON CHAPMAN | PO BOX 9201 AUSTIN, TX 78766 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 7.72% |
| GROUP INSURANCE SERVICES INC5 | 1607 N AURORA RD SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $850 | $850 | 1.77% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LIMITED | 401 BROADHOLLOW RD SUITE 200 WOODBURY, NY 11797 | METLIFE LEGAL PLANS | $4K | $356 | $4K | 9.87% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHEAST LTD | 401 BROADHOLLOW RD SUITE 200 MELVILLE, NY 117474708 | MUTUAL OF OMAHA INSURANCE COMPANY | $2K | $621 | $3K | 11.04% |
| GROUP INSURANCE SERVICES INC5 | 1607 N AURORA RD SUITE 201 NAPERVILLE, IL 60563 | MUTUAL OF OMAHA INSURANCE COMPANY | — | $2K | $2K | 9.91% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | MUTUAL OF OMAHA INSURANCE COMPANY | — | $2K | $2K | 6.54% |
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 | 765 | 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) | 765 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 800 | $96K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 799 | $48K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 799 | $93K |
| Other(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 800 | $332K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 800 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.