| 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 | $2K | — | $2K | 0.46% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GREAT PLAINS LLC | 11516 MIRACLE HILLS DR SUITE 100 OMAHA, NE 68154 | HARTFORD LIFE & ACCIDENT | $227 | — | $227 | 0.04% |
| ACTUARIAL CONSULTING SERVICES INC3 | 5830 S 142ND ST STE B OMAHA, NE 68137 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $13K | $1K | $14K | 8.21% |
| FIRST INSURANCE GROUP LLC3 | 14010 FNB PKWY STE 300 OMAHA, NE 68154 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 2.66% |
| DEAVER, LARRY D3 | 4678 MAYBERRY ST OMAHA, NE 68106 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 0.75% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $72 | — | $72 | 0.04% |
| FIRST INSURANCE GROUP LLC3 | 14010 FNB PKWY STE 300 OMAHA, NE 68154 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 4.71% |
| ACTUARIAL CONSULTING SERVICES INC3 | 5830 S 142ND ST SUITE B OMAHA, NE 68137 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $112 | $4K | 4.08% |
| DEAVER, LARRY D3 | 4678 MAYBERRY ST OMAHA, NE 68106 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $990 | — | $990 | 1.03% |
| AON CONSULTING INC3 Filed as: AON CONSULTING INC. | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $142 | — | $142 | 0.15% |
| ACTUARIAL CONSULTING SERVICES INC3 Filed as: ACTUARIAL CONSULTING SERVICES | 5830 S. 142ND ST SUITE B OMAHA, NE 68137 | METLIFE LEGAL PLANS | $6K | $1K | $8K | 10.46% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SILVERSTONE GROUP | 11516 MIRACLE HILLS DR OMAHA, NE 68154 | METLIFE LEGAL PLANS | $544 | — | $544 | 0.74% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES - OMAHA | 75 REMITTANCE DR., STE 1446 CHICAGO, IL 60675 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $40 | — | $40 | 3.43% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $15 | — | $15 | 1.29% |
| NEBRASKA METHODIST HEALTH SYSTEM5 | 8511 WEST DODGE ROAD OMAHA, NE 68114 | NEBRASKA METHODIST HEALTH SYSTEM D/B/A BESTCARE EAP | — | $30K | $30K | — |
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 | 962 | 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) | 962 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 786 | $274K |
| Life insurance | WOODMEN OF THE WORLD LIFE INSURANCE SOCIETY | 962 | $652K |
| Short-term disability | HARTFORD LIFE & ACCIDENT | 1,054 | $526K |
| Long-term disability(4 contracts, 3 carriers) | HARTFORD LIFE & ACCIDENT | 1,054 | $795K |
| Other(3 contracts, 3 carriers) | METLIFE LEGAL PLANS | 1,355 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,355 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.