| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 2150 S CENTRAL EXPY STE 280 MCKINNEY, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $6K | 22.40% |
| GROUP BENEFIT SERVICES INC3 Filed as: GROUP BENEFIT LTD | 12006 RIDGEMONT DR URBANDALE, IA 50323 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 2150 S CENTRAL EXPY STE 280 MCKINNEY, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $852 | $3K | 21.91% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $616 | $616 | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 5664 PRAIRIE CREEK DR CALDONIA, MI 49316 | VETATRUS BENEFIT SOLUTIONS | $980 | — | $980 | 10.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 2150 S CENTRAL EXPY STE 280 MCKINNEY, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $885 | $599 | $1K | 16.76% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $443 | $443 | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 2150 S CENTRAL EXPY STE 280 MCKINNEY, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $778 | $501 | $1K | 16.44% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $389 | $389 | 5.00% |
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 | 129 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VETATRUS BENEFIT SOLUTIONS | 64 | $10K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 129 | $36K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 45 | $9K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 40 | $12K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 129 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 129 | — |
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.