| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SSERVICES NY LLC | PO BOX 786677 PHILADELPHIA, PA 19178 | CINGA HEALTH AND LIFE INSURANCE COMPANY | $36K | $116K | $151K | 2.82% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES (NY) LLC | 200 PARK AVE FL 32 NEW YORK, NY 10166 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $13K | $3K | $16K | 12.33% |
| TOTALIS BENEFITS3 Filed as: TOTALIS BENEFITS INC | 8777 N GAINEY CENTER DR. STE 260 SCOTTSDALE, AZ 85258 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 1.28% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES INC. | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 0.97% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES (NY) LLC | 200 PARK AVE RM 3202 NEW YORK, NY 10166 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $2K | $11K | 12.62% |
| TOTALIS BENEFITS3 Filed as: TOTALIS BENEFITS INC | 8777 N GAINEY CENTER DR. STE 260 SCOTTSDALE, AZ 85258 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.31% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICE INC | 1250 S CAPITAL OF TX HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $965 | $965 | 1.09% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES (NY) LLC | 200 PARK AVE FL 32 NEW YORK, NY 10166 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $1K | $8K | 12.29% |
| TOTALIS BENEFITS3 Filed as: TOTALIS BENEFITS INC | 8777 N GAINEY CENTER DR. STE 260 SCOTTSDALE, AZ 85258 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $761 | $761 | 1.22% |
| NFP INSURANCE SERVICES INC3 | 120 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $597 | $597 | 0.96% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES (NY) LLC | 200 PARK AVE FL 32 NEW YORK, NY 10166 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $7K | 12.61% |
| TOTALIS BENEFITS3 Filed as: TOTALIS BENEFITS INC | 8777 N GAINEY CENTER DR. STE 260 SCOTTSDALE, AZ 85258 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $708 | $708 | 1.33% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES, INC | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $578 | $578 | 1.09% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVIECES (NY) LLC | 200 PARK AVE FL 32 NEW YORK, NY 10166 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $7K | 12.52% |
| PAYCOM PAYROLL LLC5 | 7501 W MEMORIAL RD OKLAHOMA CITY, OK 73142 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $5K | $5K | 10.00% |
| EA LEGACY LLC3 Filed as: EA LEGACY | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 3.66% |
| TOTALIS BENEFITS3 Filed as: TOTALIS BENEFITS, INC | 8777 N GAINEY CENTER DR. STE 260 SCOTTSDALE, AZ 85258 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $699 | $699 | 1.34% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVICES | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $546 | $546 | 1.05% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES (NY) LLC | 200 PARK AVE FL 32 NEW YORK, NY 10166 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $1K | $6K | 12.47% |
| PAYCOM PAYROLL LLC5 | 7501 W MEMORIAL RD OKLAHOMA CITY, OK 73142 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $4K | $4K | 10.00% |
| EA LEGACY LLC3 Filed as: EA LEGACY | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 3.69% |
| TOTALIS BENEFITS3 | 8777 N GAINEY CENTER DR. STE 260 SCOTTSDALE, AZ 85258 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $584 | $584 | 1.31% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP INSURANCE SERVCIES, INC | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $457 | $457 | 1.03% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVIECES NY LLC | 200 PARK AVE FL 32 NEW YORK, NY 10166 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $751 | $193 | $944 | 12.57% |
| TOTALIS BENEFITS3 Filed as: TOTALIS BENEFITS INC | 8777 N GAINEY CENTER DR. STE 260 SCOTTSDALE, AZ 85258 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $106 | $106 | 1.41% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CORPORATE SERVICES, INC | 1250 S CAPITAL OF TEXAS HWY STE 600 WEST LAKE HILLS, TX 78746 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $80 | $80 | 1.07% |
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 | 861 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 9 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 876 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CINGA HEALTH AND LIFE INSURANCE COMPANY | 560 | $5.4M |
| Dental | CINGA HEALTH AND LIFE INSURANCE COMPANY | 560 | $5.4M |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 542 | $53K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 861 | $96K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 336 | $132K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 861 | $62K |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 861 | $192K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 861 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.