| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LISA ANN SCAMEHORN3 | 2600 EAGAN WOODS DR SUITE 140 EAGAN, MN 55121 | NORTHWESTERN MUTUAL | $5K | $1K | $6K | 2.36% |
| HELLYER GROUP LLC3 | 1191 NORTHLAND DR SUITE 150 MENDOTA HTS, MN 55120 | NORTHWESTERN MUTUAL | $1K | $130 | $1K | 0.44% |
| STEVEN HELLING3 Filed as: STEVEN ALBERT HELLING | 101 MAIN STREET CLAYTON, WI 54004 | NORTHWESTERN MUTUAL | $473 | $119 | $592 | 0.22% |
| BRENT STANLEY GOSKA3 | 1600 ASPEN CMNS SUITE 900 MIDDLETON, WI 53562 | NORTHWESTERN MUTUAL | $47 | $17 | $64 | 0.02% |
| LISA ANN SCAMEHORN3 | 2600 EAGAN WOODS DR. SUITE 140 EAGAN, MN 55121 | NORTHWESTERN MUTUAL | $5K | $1K | $6K | 5.19% |
| HELLYER GROUP LLC3 | 1191 NORTHLAND DR. SUITE 150 MENDOTA HEIGHTS, MN 55120 | NORTHWESTERN MUTUAL | $970 | $116 | $1K | 0.99% |
| STEVEN HELLING3 Filed as: STEVEN ALBERT HELLIN | 101 MAIN STREET CLAYTON, WI 54004 | NORTHWESTERN MUTUAL | $606 | $153 | $759 | 0.69% |
| BRENT STANLEY GOSKA3 | 1600 ASPEN CMNS SUITE 900 MIDDLETON, WI 53562 | NORTHWESTERN MUTUAL | $61 | $22 | $83 | 0.08% |
| PHAROS EMPLOYEE BENEFITS INC3 Filed as: PHAROS EMPLOYEE BENEFITS INC. | 2600 EAGAN WOODS DR. SUITE 140 EAGAN, MN 55121 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $5K | $16K | 21.33% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR. SUITE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.81% |
| PHAROS EMPLOYEE BENEFITS INC3 Filed as: PHAROS EMPLOYEE BENEFITS INC. | 2600 EAGAN WOODS DR. SUITE 140 EAGAN, MN 55121 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $3K | $7K | 16.77% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR. SUITE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $757 | $757 | 1.93% |
| LISA ANN SCAMEHORN3 | 2600 EAGAN WOODS DR SUITE 140 EAGAN, MN 55121 | NORTHWESTERN MUTUAL | $2K | $490 | $2K | 8.03% |
| HELLYER GROUP LLC3 | 1191 NORTHLAND DR SUITE 150 MENDOTA HEIGHTS, MN 55120 | NORTHWESTERN MUTUAL | $413 | $49 | $462 | 1.52% |
| STEVEN HELLING3 Filed as: STEVEN ALBERT HELLING | 101 MAIN STREET CLAYTON, WI 54004 | NORTHWESTERN MUTUAL | $239 | $60 | $299 | 0.99% |
| BRENT STANLEY GOSKA3 | 1600 ASPEN CMNS SUITE 900 MIDDLETON, WI 53562 | NORTHWESTERN MUTUAL | $24 | $9 | $33 | 0.11% |
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 | 460 | 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) | 460 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 262 | $39K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 476 | $105K |
| Short-term disability | NORTHWESTERN MUTUAL | 476 | $274K |
| Long-term disability | NORTHWESTERN MUTUAL | 476 | $110K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 259 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 476 | — |
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.