| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RH CLARKSON FINANCIAL SERVICES, INC3 | PO BOX 70129 LOUISVILLE, KY 40270 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| R H CLARKSON FINANCIAL SERVICES INC3 Filed as: RH CLARKSON INSURANCE | 401 WEST MAIN STREET SUITE 1500 LOUISVILLE, KY 40202 | DENTAL CARE PLUS, INC. | $774 | — | $774 | 3.35% |
| RH CLARKSON FINANCIAL SERVICES, INC3 | PO BOX 70129 LOUISVILLE, KY 40270 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| RH CLARKSON FINANCIAL SERVICES, INC3 | PO BOX 70129 LOUISVILLE, KY 40270 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| RH CLARKSON FINANCIAL SERVICES, INC3 | PO BOX 70129 LOUISVILLE, KY 40270 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $464 | — | $464 | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| RH CLARKSON FINANCIAL SERVICE, INC BROKER | Insurance agents and brokers Service code 22 | 401 W MAIN STREET SUITE 1502 LOUISVILLE, KY 40202 | $39K |
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. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 252 | $1.1M |
| Dental | DENTAL CARE PLUS, INC. | 296 | $23K |
| Vision | EYEMED | 245 | $14K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 277 | $5K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 79 | $34K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 96 | $16K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 277 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 296 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.