| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACTUARIAL CONSULTING SERVICES INC3 | 5830 SOUTH 142ND ST SUITE B OMAHA, NE 68137 | HARTFORD LIFE & ACCIDENT | $6K | $2K | $8K | 1.85% |
| FIRST INSURANCE GROUP LLC3 | 14010 FNB PKWY STE 300 OMAHA, NE 68154 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $8K | — | $8K | 6.63% |
| ACTUARIAL CONSULTING SERVICES INC3 | 5830 S 142ND ST STE B OMAHA, NE 68137 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 2.16% |
| DEAVER, LARRY D3 | 4678 MAYBERRY ST OMAHA, NE 68106 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 2.04% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $81 | — | $81 | 0.07% |
| FIRST INSURANCE GROUP LLC3 | 14010 FNB PKWY STE 300 OMAHA, NE 68154 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $7K | — | $7K | 8.62% |
| DEAVER, LARRY D3 | 4678 MAYBERRY ST OMAHA, NE 68106 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 2.21% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $184 | — | $184 | 0.21% |
| ACTUARIAL CONSULTING SERVICES INC3 | 5830 S 142ND ST SUITE B OMAHA, NE 68137 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $85 | — | $85 | 0.10% |
| ACTUARIAL CONSULTING SERVICES INC3 Filed as: ACTUARIAL CONSULTING SERVICES | 5830 S. 142ND ST SUITE B OMAHA, NE 68137 | METLIFE LEGAL PLANS | $4K | $228 | $4K | 11.01% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES - OMAHA | 75 REMITTANCE DR., STE 1446 CHICAGO, IL 60675 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $62 | — | $62 | 2.42% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $36 | — | $36 | 1.41% |
| DEAVER, LARRY D3 | 4678 MAYBERRY ST OMAHA, NE 68106 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $19 | — | $19 | 0.74% |
| FIRST INSURANCE GROUP LLC3 | 14010 FNB PWKY STE 300 OMAHA, NE 68154 | PROVIDENT LIFE AND CASUALTY INSURANCE COMPANY | $250 | — | $250 | 16.37% |
| NEBRASKA METHODIST HEALTH SYSTEM5 | 8511 WEST DODGE ROAD OMAHA, NE 68114 | NEBRASKA METHODIST HEALTH SYSTEM D/B/A BESTCARE EAP | — | $25K | $25K | — |
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 | 958 | 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) | 958 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 840 | $294K |
| Life insurance | WOODMEN OF THE WORLD LIFE INSURANCE SOCIETY | 958 | $622K |
| Short-term disability | HARTFORD LIFE & ACCIDENT | 1,066 | $460K |
| Long-term disability(5 contracts, 4 carriers) | HARTFORD LIFE & ACCIDENT | 1,066 | $674K |
| Other(3 contracts, 3 carriers) | METLIFE LEGAL PLANS | 1,296 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,296 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.