| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIRST INSURANCE GROUP LLC3 | — | DELTA DENTAL OF ILLINOIS | $8K | — | $8K | 6.98% |
| PLANSOURCE BEN ADMINISTRATION INC5 | PO BOX 1313 ORLANDO, FL 32802 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 4.00% |
| FIRST INSURANCE GROUP LLC3 | 14010 FNB PARKWAY SUITE 300 OMAHA, NE 68154 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $811 | $811 | 2.86% |
| NATIONAL BENEFIT CENTER3 | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $695 | $695 | 2.45% |
| FIRST INSURANCE GROUP LLC3 | 14010 FNB PARKWAY SUITE 300 OMAHA, NE 68154 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $989 | $6K | 23.75% |
| PLANSOURCE BEN ADMINISTRATION INC3 | PO BOX 1313 ORLANDO, FL 32802 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 6.00% |
| NATIONAL BENEFIT CENTER3 | 6830 COCORAN ROAD SOLON, OH 44139 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $848 | $848 | 3.22% |
| FIRST INSURANCE GROUP LLC3 | 14010 FNB PARKWAY SUITE 300 OMAHA, NE 68154 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $792 | $792 | 3.19% |
| NATIONAL BENEFIT CENTER3 | 23828 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $678 | $678 | 2.73% |
| FIRST INSURANCE GROUP LLC3 | 14010 FNB PARKWAY SUITE 300 OMAHA, NE 68145 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $633 | $4K | 18.85% |
| PLANSOURCE BEN ADMINISTRATION INC5 | PO BOX 1313 ORLANDO, FL 32802 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 6.00% |
| NATIONAL BNEFIT CENTER3 | 23825 COMMERCE PARK SUITE A BEACHWOOD, OH 44122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $542 | $542 | 2.44% |
| INSGROUP INC3 Filed as: FIRST INSURANCE GROUP, LLC DBA FIRS | 11000 US ROUTE 34 SUITE 1 PLANO, IL 60545 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $939 | — | $939 | 5.47% |
| FNIC3 | 1100 US ROUTE 34 SUITE 1 PLANO, IL 60545 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $926 | — | $926 | 5.40% |
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 | 248 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 70 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 318 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF ILLINOIS | 169 | $116K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 268 | $17K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 313 | $55K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 85 | $22K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 245 | $25K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 313 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 313 | — |
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.