| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIRST INSURANCE GROUP LLC3 | P.O. BOX 45279 OMAHA, NE 681450279 | HARTFORD LIFE AND ACCIDENT | $43K | — | $43K | 7.07% |
| FIRST INSURANCE GROUP LLC3 | 14010 FNB PKWY, STE 300 OMAHA, NE 68154 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $7K | $1K | $8K | 7.04% |
| LARRY DEAVER3 Filed as: LARRY D DEAVER | 8867 VERDON CIR PLATTSMOUTH, NE 68048 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $8K | — | $8K | 6.64% |
| AON CONSULTING INC3 | PO BOX 905494 CHARLOTTE, NC 28290 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $149 | — | $149 | 0.13% |
| LARRY DEAVER3 | 8867 VERDON CIR PLATTSMOUTH, NE 68048 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $6K | — | $6K | 7.26% |
| FIRST INSURANCE GROUP LLC3 | 14010 FNB PKWY STE 300 OMAHA, NE 68154 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $796 | $4K | 5.71% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | PO BOX 905494 CHARLOTTE, NC 282905494 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $253 | — | $253 | 0.33% |
| FIRST INSURANCE GROUP LLC3 | D/B/A THE HARRY A KOCH CO. 14010 FNB PARKWAY, SUITE 300 OMAHA, NE 68154 | HYATT LEGAL PLANS | $3K | — | $3K | 10.94% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | PO BOX 905494 CHARLOTTE, NC 28290 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $105 | — | $105 | 2.17% |
| LARRY DEAVER3 | 8867 VERDON CIR PLATTSMOUTH, NE 68048 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $91 | — | $91 | 1.88% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES - OMAHA | 75 REMITTANCE DR., STE 1446 CHICAGO, IL 60675 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $90 | — | $90 | 1.86% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC | 199 WATER STREET NEW YORK, NY 10038 | AXIS INSURANCE COMPANY | $658 | — | $658 | 25.01% |
| FIRST INSURANCE GROUP LLC3 Filed as: FIRST INSURANCE GROUP | 14010 FNB PKWY STE. 300 OMAHA, NE 68154 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $72 | — | $72 | 13.09% |
| NEBRASKA METHODIST HEALTH SYSTEM5 | 8511 WEST DODGE ROAD OMAHA, NE 68114 | NEBRASKA METHODIST HEALTH SYSTEM D/B/A BESTCARE EAP | — | $28K | $28K | — |
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 | 1,084 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,084 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 917 | $284K |
| Life insurance | WOODMEN OF THE WORLD LIFE INSURANCE SOCIETY | 1,084 | $660K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 1,167 | $606K |
| Long-term disability(5 contracts, 4 carriers) | HARTFORD LIFE AND ACCIDENT | 1,167 | $807K |
| Other(3 contracts, 3 carriers) | HYATT LEGAL PLANS | 1,534 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,534 | — |
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.