No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CYPRESS BENEFIT ADMINISTRATORS, LLC NONE | Claims processing; Direct payment from the plan Service code 12 | 5560 W GRANDE MARKET DRIVE APPLETON, WI 54913 | $151K |
| AMERITAS NONE | Insurance services; Recordkeeping fees; Other insurance fees and expenses; Direct payment from the plan; Account maintenance fees; Claims processing Service code 12 | PO BOX 81889 LINCOLN, NE 68501 | $35K |
| HSMC ORIZON NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 16924 FRANCES STREET OMAHA, NE 68130 | $7K |
| AMERICAN HEALTH HOLDINGS NONE | Insurance agents and brokers; Insurance brokerage commissions and fees; Consulting (general); Insurance services Service code 16 | 100 WEST OLD OLSON BRIDGE WORTHINGTON, OH 430856016 | $0 |
| CORPORATE BENEFITS CONSORTIUM NONE | Insurance brokerage commissions and fees; Consulting (general); Insurance services; Insurance agents and brokers Service code 16 | 11755 E PEAKVIEW AVE ENGLEWOOD, CO 80111 | $0 |
| MIDLANDS CHOICE NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Consulting (general); Insurance services Service code 16 | 8420 W DODGE ROAD OMAHA, NE 68114 | $0 |
| UNION AGENCY, INC. RELATED COMPANY | Insurance services; Insurance agents and brokers; Insurance brokerage commissions and fees; Consulting (general) Service code 16 | 4719 PRESCOTT AVENUE LINCOLN, NE 68506 | $0 |
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 | 533 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 533 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HIGHMARK LIFE INSURANCE | 484 | $406K |
| Stop-loss / reinsurancereinsurance | HIGHMARK LIFE INSURANCE | 484 | $349K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 484 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.