| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TOTAL BENEFIT SOLUTIONS3 Filed as: TOTAL BENEFIT SOLUTIONS LLC | 4133 MERCHANT DRIVE SUITE 4 NEWBURGH, IN 47630 | HEALTH RESOURCES, INC. | $10K | — | $10K | 7.50% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC. | 3900 E CAMELBACK ROAD SUITE 225 PHOENIX, AZ 85018 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $14K | $5K | $19K | 20.61% |
| STEELE INSURANCE5 Filed as: STEELE INS. & FINANCIAL SERVICES | 9020 CRAWFORDSVILLE ROAD INDIANAPOLIS, IN 46234 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 3.39% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC. | 571 MONLON BLVD SUITE 400 CARMEL, IN 46032 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | $4K | $13K | 20.74% |
| STEELE INSURANCE5 Filed as: STEELE INS. & FINANCIAL SERVICES | 9020 CRAWFORDSVILLE ROAD INDIANAPOLIS, IN 46234 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 4.91% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC. | 3900 E CAMELBACK ROAD SUITE 225 PHOENIX, AZ 85018 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $2K | $7K | 20.08% |
| STEELE INSURANCE5 Filed as: STEELE INS. & FINANCIAL SERVICES | 9020 CRAWFORDSVILLE ROAD INDIANAPOLIS, IN 46234 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 8.98% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC. | 3900 E CAMELBACK ROAD SUITE 225 PHOENIX, AZ 85018 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $5K | 20.73% |
| STEELE INSURANCE5 Filed as: STEELE INS. & FINANCIAL SERVICES | 9020 CRAWFORDSVILLE ROAD INDIANAPOLIS, IN 46234 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 14.30% |
| CUSTOM BENEFIT PROGRAMS INC3 Filed as: CUSTOM BENEFIT PROGRAMS, INC. | 897 12TH STREET HAMMONTON, NJ 08037 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $19 | — | $19 | 1.59% |
| MJ INSURANCE3 Filed as: MJ INSURANCE INC. | 571 MONON BLVD. SUITE 400 SUITE 400 CARMEL, IN 46032 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $11 | — | $11 | 0.92% |
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 | 336 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 338 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | HEALTH RESOURCES, INC. | 321 | $134K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 415 | $57K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 280 | $92K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 252 | $64K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 415 | $58K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 415 | — |
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.