| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRANDEN BENDER3 | 12329 SOUTHPPORT PARKWAY #100 LA VISTA, NE 68128 | DELTA DENTAL OF SOUTH DAKOTA | $6K | — | $6K | 4.57% |
| OCI INSURANCE AND FINANCIAL SERVICE3 | 4221 NORTH 203RD STREET SUITE 200 ELKHORN, NE 68022 | SUN LIFE ASSURANCE COMPANY OF CANADA | $14K | $5K | $19K | 16.75% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 689 FREMONT, NE 68026 | SUN LIFE ASSURANCE COMPANY OF CANADA | $160 | — | $160 | 0.14% |
| INSPRO INC3 Filed as: INSPRO-LINCOLN | 4000 PINE LAKE ROAD LINCOLN, NE 68506 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 11.54% |
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 | 295 | 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) | 295 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF SOUTH DAKOTA | 182 | $135K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 403 | $24K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 289 | $113K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 289 | $113K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 289 | $113K |
| Stop-loss / reinsurancereinsurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 183 | $377K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 289 | $113K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 403 | — |
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."
No prospect flags tripped on this filing.