| 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 | 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% |
| VON THOMAS3 | 3355 FLETCHER RD SEWARD, NE 68434 | AFLAC | $141 | — | $141 | 5.30% |
| BUTZKE INSURANCE INC3 | PO BOX 85 SEWARD, NE 68434 | AFLAC | $56 | — | $56 | 2.10% |
| JAMES A BELLOWS3 | 205 S LINCOLN AVE STE 203 YORK, NE 68467 | AFLAC | $41 | — | $41 | 1.54% |
| TODD H BURRER3 | 440 REGENCY PARKWAY DR STE 234 OMAHA, NE 68114 | AFLAC | $25 | — | $25 | 0.94% |
| HEATHER D. HOLLAND3 Filed as: HEATHER D HOLLAND | 621 OAKMONT DR PLATTSMOUTH, NE 68048 | AFLAC | $25 | — | $25 | 0.94% |
| BUTZKE INSURANCE INC3 | 141 S 6TH ST APT 1 SEWARD, NE 68434 | AFLAC | $21 | — | $21 | 0.79% |
| RIHA BENEFITS GROUP INC3 | 302 E 6TH ST STUART, NE 68780 | AFLAC | $20 | — | $20 | 0.75% |
| MARK FRIEHE3 Filed as: MARK E FRIEHE | 11329 P ST STE 120 OMAHA, NE 68137 | AFLAC | $11 | — | $11 | 0.41% |
| JANICE A ROBINSON3 Filed as: JANICE ARLENE ROBINSON | 22010 BRIDGESTONE HAWK CT SPRING, TX 77388 | AFLAC | $10 | — | $10 | 0.38% |
| KEVIN B VINING3 | 47269 255TH ST RENNER, SD 57055 | AFLAC | $6 | — | $6 | 0.23% |
| CHELSEA M. SCHERNIKAU3 Filed as: CHELSEA M SCHERNIKAU | 503 S Z RD HENDERSON, NE 68371 | AFLAC | $6 | — | $6 | 0.23% |
| AMANDA MARIE SHEFFIELD3 | 116 W N ST MC COOL JUNCTION, NE 68401 | AFLAC | $1 | — | $1 | 0.04% |
| CYNTHIA D WELKEN-PLACE3 | 5335 S RANGER TRL GILBERT, AZ 85298 | AFLAC | $1 | — | $1 | 0.04% |
| SVEHLA & ASSOCIATES INC3 | 1440 WESTFORK DR RAYMOND, NE 68428 | AFLAC | $1 | — | $1 | 0.04% |
| KENNETH R THOMASON3 | 4610 N 134TH AVE OMAHA, NE 68164 | AFLAC | $1 | — | $1 | 0.04% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 5664 PRAIRIE CREEK DR CALDONIA, MI 49316 | VETATRUS BENEFIT SOLUTIONS | $1K | — | $1K | 41.84% |
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 | 131 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VETATRUS BENEFIT SOLUTIONS | 75 | $3K |
| 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(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 129 | $39K |
| 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.