| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF PA, LP | 125 EAST STREET, SUITE 210 CONSHOHOCKEN, PA 19428 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $13K | $4K | $17K | 18.05% |
| STRATEGIC EMPLOYEE BENEFIT SERVICES3 Filed as: STRATEGIC NON-MEDICAL SOLUTIONS LLC | 1 BEACON STREET, SUITE 17100 BOSTON, MA 02108 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $4K | $4K | 4.15% |
| LACHER AND ASSOCIATES INSURANCE3 Filed as: LACHER AND ASSOC. INSURANCE AGENCY | 632 EAST BROAD STREET, PO BOX 64398 SOUDERTON, PA 18964 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 2.79% |
| STRATEGIC EMPLOYEE BENEFIT SERVICES3 Filed as: STRATEGIC NON-MEDICAL SOLUTIONS LLC | 1 BEACON STREET, SUITE 17100 BOSTON, MA 02108 | AMERITAS LIFE INSURANCE CORP. | $4K | $0 | $4K | 9.94% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF PA, LP | 125 EAST ELM STREET, SUITE 210 CONSHOHOCKEN, PA 19428 | AMERITAS LIFE INSURANCE CORP. | $3K | $0 | $3K | 8.29% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BOWN INSURANCE SERVICES | 3520 THOMASVILLE ROAD, SUITE 500 TALLAHASSEE, FL 32309 | AMERITAS LIFE INSURANCE CORP. | $0 | $744 | $744 | 2.04% |
| LACHER AND ASSOCIATES INSURANCE3 Filed as: LACHER AND ASSOC. INSURANCE AGENCY | 632 EAST BROAD STREET SOUDERTON, PA 18964 | AMERITAS LIFE INSURANCE CORP. | $624 | $0 | $624 | 1.71% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BOWN INSURANCE SERVICES | 125 EAST ELM STREET, SUITE 210 CONSHOHOCKEN, PA 19428 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $418 | $0 | $418 | 8.35% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP. | 165 | $37K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 102 | $5K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $95K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $95K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $95K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $95K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 165 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.