| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COMMUNITY INSURANCE COMPANY5 | 3350 PEACHTREE ROAD, POB 30302-445 ATLANTA, GA 303261039 | COMMUNITY INSURANCE COMPANY | — | $130K | $130K | 40.01% |
| COMMUNITY INSURANCE COMPANY5 | 3350 PEACHTREE ROAD, POB 30302-445 ATLANTA, GA 303261039 | COMMUNITY INSURANCE COMPANY | — | $59K | $59K | 18.15% |
| COMMUNITY INSURANCE COMPANY5 | 3350 PEACHTREE ROAD, POB 30302-445 ATLANTA, GA 303261039 | COMMUNITY INSURANCE COMPANY | — | $9K | $9K | 2.75% |
| MARSH & MCLENNAN AGENCY LLC4 Filed as: MARSH & MCLENNAN AGENCY / BROWER IN | 409 E MONUMENT ST STE 400 DAYTON, OH 454021482 | COMMUNITY INSURANCE COMPANY | — | $774 | $774 | 0.24% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY / BROWER IN | 409 E MONUMENT ST STE 400 DAYTON, OH 454021482 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 15.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY / BROWER IN | 409 E MONUMENT ST STE 400 DAYTON, OH 454021482 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 9.34% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY / BROWER IN | 409 E MONUMENT ST STE 400 DAYTON, OH 454021482 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 20.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY / BROWER IN | 409 E MONUMENT ST STE 400 DAYTON, OH 454021482 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 9.28% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY / BROWER IN | 409 E MONUMENT ST STE 400 DAYTON, OH 454021482 | EYEMED VISION CARE | $4K | — | $4K | 18.93% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY / BROWER IN | 409 E MONUMENT ST STE 400 DAYTON, OH 454021482 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY / BROWER IN | 409 E MONUMENT ST STE 400 DAYTON, OH 454021482 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 8.69% |
| UNITED OF OMAHA LIFE INSURANCE CO3 Filed as: UNITED OF OMAHA LIFE INSURANCE | MUTUAL OF OMAHA PLAZA OMAHA, NE 68175 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $7K | $7K | 91.72% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY / BROWER IN | 409 E MONUMENT ST STE 400 DAYTON, OH 454021482 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $629 | — | $629 | 8.28% |
| MARSH & MCLENNAN AGENCY LLC Filed as: MARSH & MCLENNAN AGENCY / BROWER IN | 409 E MONUMENT ST STE 400 DAYTON, OH 454021482 | CIGNA GROUP INSURANCE | $143 | — | $143 | 15.05% |
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 | 250 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | COMMUNITY INSURANCE COMPANY | 172 | $326K |
| Dental | COMMUNITY INSURANCE COMPANY | 172 | $326K |
| Vision | EYEMED VISION CARE | 352 | $20K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 285 | $36K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 126 | $44K |
| Stop-loss / reinsurancereinsurance | COMMUNITY INSURANCE COMPANY | 172 | $326K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 285 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 352 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.