| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CASTLE LAKE INSURANCE LLC3 Filed as: CASTLE BENEFITS CONSULTING GRP LLC | 116 PERCHERON DR SPRING CITY, PA 19475 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 9.22% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS LLC-MIDATLANTIC | PO BOX 61007 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $367 | $3K | $3K | 7.24% |
| CASTLE LAKE INSURANCE LLC3 Filed as: CASTLE BENEFITS CONSULTING GRP LLC | 116 PERCHERON DR SPRING CITY, PA 19475 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 9.20% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS LLC-MIDATLANTIC | PO BOX 61007 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $278 | $2K | $3K | 7.41% |
| CASTLE LAKE INSURANCE LLC3 Filed as: CASTLE BENEFITS CONSULTING GRP LLC | 116 PERCHERON DR SPRING CITY, PA 19475 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 9.17% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SVCS LLC-MIDATLANTIC | PO BOX 61007 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $253 | $2K | $2K | 7.77% |
| UNITED OF OMAHA LIFE INSURANCE CO3 | MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $6K | $6K | 96.21% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES LLC-MIDATLAN | PO BOX 61007 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $234 | $234 | 3.79% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INDECS CORPORATION EIN 22-2405857 CLAIMS PROCESSING | Claims processing Service code 12 | 1099 WALL STREET WEST SUITE 317 LYNDHURST, NJ 07071 | $61K |
| CASTLE BENEFIT CONSULTING GROUP EIN 27-0299182 INS AGENTS AND BROKERS | Insurance agents and brokers Service code 22 | 116 PERCHERON DRIVE SPRING CITY, PA 19475 | $56K |
| HCS EIN 52-1874471 CLAIMS PROCESSING | Other insurance fees and expenses; Claims processing Service code 12 | PO BOX 37039 BALTIMORE, MD 21297 | $9K |
| MULTIPLAN EIN 13-3068979 CLAIMS PROCESSING | Claims processing; Other insurance fees and expenses Service code 12 | PO BOX 29380 GENERAL POST OFFICE NEW YORK, NY 10087 | $5K |
| THE PHIA GROUP EIN 04-3504115 CLAIMS PROCESSING | Other insurance fees and expenses; Claims processing Service code 12 | PO BOX 499 CANTON, MA 02021 | $2K |
| TELADOC EIN 20-1020949 CLAIMS PROCESSING | Claims processing; Other insurance fees and expenses Service code 12 | DEPT 3417 PO BOX 123417 DALLAS, TX 75312 | $1K |
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 | 178 | 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) | 178 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | DELTA DENTAL OF PENNSYLVANIA | 314 | $106K |
| Vision | HEARTLAND | 323 | $14K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 178 | $47K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 177 | $6K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 177 | $35K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | US FIRE INSURANCE COMPANY | 170 | $661K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 178 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 323 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.