| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RALPH H KEELER3 Filed as: RALPH KEELER | 8716 RIVERDALE RD PLATTSMOUTH, NE 68048 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | — | $7K | 7.00% |
| WORKPLACE SOLUTIONS, INC.3 Filed as: WORKPLACE BENEFITS | PO BOX 540874 OMAHA, NE 68154 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 3.00% |
| RALPH H KEELER3 Filed as: RALPH KEELER | 8716 RIVERDALE RD PLATTSMOUTH, NE 680484809 | AMERICAN HERITAGE LIFE INSURANCE | $8K | — | $8K | 11.53% |
| KEELER & ASSOCIATES3 Filed as: KEELER AND ASSOCIATES | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE | $6K | — | $6K | 8.27% |
| DAKOTACARE ADMINISTRATIVE SERVICES3 Filed as: DAKOTACARE ADMT SERVICES INC. | 2600 W 49TH STREET SIOUX FALLS, SD 57117 | AMERICAN HERITAGE LIFE INSURANCE | $1K | — | $1K | 1.68% |
| JOANN R MEYER3 | PO BOX 540874 OMAHA, NE 68154 | AMERICAN HERITAGE LIFE INSURANCE | $551 | — | $551 | 0.83% |
| ANTHONY C BUECHLER3 | 1203 COLONIAL CIRCLE OMAHA, NE 68046 | AMERICAN HERITAGE LIFE INSURANCE | $375 | — | $375 | 0.56% |
| SHAWN J KEELER3 | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE | $282 | — | $282 | 0.42% |
| RALPH H KEELER3 Filed as: RALPH KEELER | 8716 RIVERDALE RD PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE | $4K | — | $4K | 21.91% |
| KEELER & ASSOCIATES3 Filed as: KEELER AND ASSOCIATES | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE | $2K | — | $2K | 10.33% |
| JOANN R MEYER3 | PO BOX 540874 OMAHA, NE 68154 | AMERICAN HERITAGE LIFE INSURANCE | $128 | — | $128 | 0.73% |
| TANYA WISHARD3 Filed as: TANYA M MULDER | 1753 NORTH 176TH PLAZA OMAHA, NE 68118 | AMERICAN HERITAGE LIFE INSURANCE | $75 | — | $75 | 0.43% |
| SHAWN J KEELER3 | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE | $59 | — | $59 | 0.34% |
| DAKOTACARE ADMINISTRATIVE SERVICES3 Filed as: DAKOTACARE ADMT SERVICES INC. | 2600 W 49TH STREET SIOUX FALLS, SD 57117 | AMERICAN HERITAGE LIFE INSURANCE | $19 | — | $19 | 0.11% |
| FRED J. SCOTT3 | 3820 CIRCLE DRIVE INDIANAPOLIS, IN 46620 | TRUSTMARK INSURANCE COMPANY | $196 | — | $196 | 2.33% |
| SCOTT INSURANCE3 Filed as: THE SCOTT GROUP | 8320 ALLISON POINTE BLVD CASTLETON, IN 46250 | TRUSTMARK INSURANCE COMPANY | $176 | — | $176 | 2.09% |
| JAMES RUSINE3 | 5626 CARROLLTON AVE INDIANAPOLIS, IN 46220 | TRUSTMARK INSURANCE COMPANY | $30 | — | $30 | 0.36% |
| JEANNE K SHAWHAN3 | 7909 BOSINNEY CIRCLE INDIANAPOLIS, IN 46256 | TRUSTMARK INSURANCE COMPANY | $17 | — | $17 | 0.20% |
| FRED J. SCOTT3 Filed as: THE FRED SCOTT GROUP | 8320 ALLISON POINTE BLVD INDIANAPOLIS, IN 462501696 | RELIASTAR LIFE INSURANCE COMPANY | $144 | — | $144 | 2.24% |
| WILLIAMS INSURANCE AGENCY3 | PO BOX 1507 SIOUX FALLS, SD 57101 | RELIASTAR LIFE INSURANCE COMPANY | $11 | — | $11 | 0.17% |
| MARK SHRACK3 | 430 N PARK AVE APT 205 INDIANAPOLIS, IN 46202 | RELIASTAR LIFE INSURANCE COMPANY | $2 | — | $2 | 0.03% |
| JEANNE K SHAWHAN, FRED SCOTT GROUP3 | 8320 ALLISON POINTE BLVD INDIANAPOLIS, IN 46250 | RELIASTAR LIFE INSURANCE COMPANY | $1 | — | $1 | 0.02% |
| RALPH H KEELER3 Filed as: RALPH KEELER | 8716 RIVERDALE RD PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE | $450 | — | $450 | 9.75% |
| KEELER & ASSOCIATES3 Filed as: KEELER AND ASSOCIATES | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE | $248 | — | $248 | 5.37% |
| DAKOTACARE ADMINISTRATIVE SERVICES3 Filed as: DAKOTACARE ADMT SERVICES INC. | 2600 W 49TH STREET SIOUX FALLS, SD 57117 | AMERICAN HERITAGE LIFE INSURANCE | $148 | — | $148 | 3.21% |
| JOANN R MEYER3 | PO BOX 540874 OMAHA, NE 68154 | AMERICAN HERITAGE LIFE INSURANCE | $13 | — | $13 | 0.28% |
| ANTHONY C BUECHLER3 | 1203 COLONIAL CIRCLE OMAHA, NE 68046 | AMERICAN HERITAGE LIFE INSURANCE | $13 | — | $13 | 0.28% |
| RALPH H KEELER3 Filed as: RALPH KEELER | 8716 RIVERDALE RD PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE | $281 | — | $281 | 16.09% |
| KEELER & ASSOCIATES3 Filed as: KEELER AND ASSOCIATES | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE | $115 | — | $115 | 6.59% |
| JOANN R MEYER3 | PO BOX 540874 OMAHA, NE 68154 | AMERICAN HERITAGE LIFE INSURANCE | $22 | — | $22 | 1.26% |
| RALPH H KEELER3 Filed as: RALPH KEELER | 8716 RIVERDALE RD PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE | $134 | — | $134 | 20.90% |
| KEELER & ASSOCIATES3 Filed as: KEELER AND ASSOCIATES | 2209 1ST AVE PLATTSMOUTH, NE 68048 | AMERICAN HERITAGE LIFE INSURANCE | $91 | — | $91 | 14.20% |
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 | 1,031 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,031 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts, 3 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,637 | $120K |
| Other(6 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,637 | $196K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,637 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.