| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VARIOUS - SEE ATTACHED3 | C/O ASSURITY P.O. BOX 82533 LINCOLN, NE 685012533 | ASSURITY LIFE INSURANCE COMPANY | $34K | — | $34K | 26.46% |
| MATTHEW REDNOUR3 | 2500 MIDDLE ROAD SUITE 300 BETTENDORF, IA 52722 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $17K | — | $17K | 13.35% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS, LLC | 5025 UTICA RIDGE RD., SUITE 100 DAVENPORT, IA 52807 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $15K | — | $15K | 11.86% |
| GARY W WARE JR3 Filed as: GARY WARE AND ASSOCIATES DBA W | 3808 W SPRINGFIELD AVE STE D CHAMPAIGN, IL 61822 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $9K | — | $9K | 7.11% |
| BRADDEN PROBST3 | 3808 W SPRINGFIELD AVE STE C CHAMPAIGN, IL 61822 | AMERICAN PUBLIC LIFE INSURANCE COMPANY | $825 | — | $825 | 0.65% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS, LLC | 2501 W BELTLINE HWY STE 201 MADISON, WI 53713 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $2K | $13K | 17.17% |
| PATRIOT GROWTH INSURANCE SERVICES5 | 1800 WEST LOOP S STE 2115 HOUSTON, TX 77027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $11K | $11K | 14.00% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS, LLC | 2501 W BELTLINE HWY STE 201 MADISON, WI 53713 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 2.88% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS, LLC | 2501 W BELTLINE HWY STE 201 MADISON, WI 53713 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 2.88% |
| ROGERS BENEFIT GROUP INC4 Filed as: M ROGERS GROUP LLC | P.O. BOX 853 GEORGETOWN, CO 80444 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $1K | — | $1K | 10.98% |
| ASSUREDPARTNERS4 Filed as: ASSUREDPARTNERS GREAT PLAINS, LLC | 4200 UNIVERSITY AVENUE SUITE 200 WEST DES MOINES, IA 50266 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $376 | — | $376 | 3.65% |
| PATRIOT GROWTH INSURANCE SERVICES4 | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $246 | — | $246 | 2.39% |
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 | 466 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 471 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | AMERITAS LIFE INSURANCE CORP. | 884 | $38K |
| Life insurance(3 contracts, 2 carriers) | AMERICAN PUBLIC LIFE INSURANCE COMPANY | 661 | $277K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 661 | $68K |
| Other(5 contracts, 4 carriers) | ASSURITY LIFE INSURANCE COMPANY | 661 | $342K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 884 | — |
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.