| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DOUGLAS W. HOEFER3 | 16816 EAGLEVIEW DR LAKEVILLE, MN 55044 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $20K | $0 | $20K | 10.36% |
| BENEUSA LLC3 | 261 SCHOOL AVE STE 350 EXCELSIOR, MN 55331 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $7K | $10K | 5.00% |
| BENEFIT SPECIALISTS INC.3 Filed as: BENEFIT SPECIALISTS INC | 13111 DANUBE LANE ROSEMOUNT, MN 55068 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 4.64% |
| DOUGLAS W. HOEFER3 | 16816 EAGLEVIEW DR. LAKEVILLE, MN 55044 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $0 | $6K | 9.55% |
| BENEUSA LLC3 | 261 SCHOOL AVE STE 350 EXCELSIOR, MN 55331 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $866 | $2K | $3K | 5.00% |
| BENEFIT SPECIALISTS INC.3 Filed as: BENEFIT SPECIALISTS INC | 13111 DANUBE LANE ROSEMOUNT, MN 55068 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 4.36% |
| DOUGLAS W. HOEFER3 Filed as: DOUGLAS HOEFER | 16816 EAGLEVIEW DR. LAKEVILLE, MN 55044 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $0 | $6K | 10.37% |
| BENEUSA LLC3 | 261 SCHOOL AVE STE 350 EXCELSIOR, MN 55331 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $712 | $2K | $3K | 5.00% |
| BENEFIT SPECIALISTS INC.3 Filed as: BENEFIT SPECIALISTS INC | 13111 DANUBE LANE ROSEMOUNT, MN 55068 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.63% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DOUGLAS W HOEFER INSURANCE AGENT | Insurance agents and brokers Service code 22 | 16816 EAGLEVIEW DR. LAKEVILLE, MN 55044 | $32K |
| BENEUSA LLC GROUP GENERAL AGENT | Insurance services Service code 23 | 261 SCHOOL AVE, STE 350 EXCELSIOR, MN 55331 | $16K |
| BENEFIT SPECIALISTS INC INSURANCE AGENT | Insurance agents and brokers Service code 22 | 13111 DANUBE LANE ROSEMOUNT, MN 55068 | $14K |
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 | 614 | 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) | 614 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 614 | $53K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 614 | $247K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 614 | $64K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 614 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.