| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GREAT PLAINS, LLC | 11516 MIRACLE HILLS DRIVE SUITE 100 OMAHA, NE 68154 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $73K | $54K | $127K | 12.36% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GREAT PLAINS, LLC | 11516 MIRACLE HILLS DRIVE SUITE 1002 OMAHA, NE 68154 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $10K | $0 | $10K | 5.34% |
| J MANNING AND ASSOCIATES3 | UNKNOWN OMAHA, NE 68180 | COMBINED INSURANCE | $3K | $0 | $3K | 3.12% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SILVERSTONE GROUP, INC. | UNKNOWN OMAHA, NE 68180 | COMBINED INSURANCE | $2K | $0 | $2K | 1.87% |
| LTCI PARTNERS LLC3 Filed as: LTCI PARTNERS | UNKNOWN OMAHA, NE 68180 | COMBINED INSURANCE | $1K | $0 | $1K | 1.25% |
| MARSH & MCLENNAN AGENCY LLC4 Filed as: SILVERSTONE GROUP | 11516 MIRACLE HILLS DRIVE SUITE 100 OMAHA, NE 68154 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $5K | $0 | $5K | 11.29% |
| PATRICK LILLIS4 | PO BOX 234 WESTHOPE, NE 58793 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $1K | $0 | $1K | 3.18% |
| ANN M GIEBLER4 Filed as: ANN GIEBLER | 9806 SOUTH 176TH STREET OMAHA, NE 68136 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $50 | $0 | $50 | 0.12% |
| KCA MARKETING INC DBA LEGAL BENEFIT4 Filed as: KCA MARKETING, INC. | PO BOX 1702 MAPLE GROVE, MN 55311 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $45 | $0 | $45 | 0.10% |
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 | 1,513 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,515 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 2,284 | $180K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,513 | $1.0M |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,513 | $1.0M |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,513 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,284 | — |
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.