| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLMARK INC5 Filed as: BLUECROSS BLUESHIELD OF NEBRASKA | PO BOX 3248 OMAHA, NE 68180 | BLUE CROSS BLUE SHIELD OF NEBRASKA | — | $86K | $86K | 2.77% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY | 13810 FNB PARKWAY, SUITE 300 OMAHA, NE 68154 | BLUE CROSS BLUE SHIELD OF NEBRASKA | $73K | $63 | $73K | 2.34% |
| INNOVATIVE CAPTIVE SOLUTIONS3 Filed as: INNOVATIVE CAPTIVE STATEGIES | 2727 GRAND PRAIRIE PARKWAY WAUKEE, IA 50263 | BLUE CROSS BLUE SHIELD OF NEBRASKA | — | $39K | $39K | 1.25% |
| PRIME GROUP INSURANCE SERVICES, INC0 Filed as: PRIME THERAPEUTICS | 1305 CORPORATE CENTER DR EAGAN, MN 55121 | BLUE CROSS BLUE SHIELD OF NEBRASKA | — | $23K | $23K | 0.73% |
| SHANE BAACK3 | PO BOX 426 SEWARD, NE 68434 | PRINCIPAL LIFE INSURANCE COMPANY | $33K | — | $33K | 7.99% |
| SHANE BAACK3 | PO BOX 426 SEWARD, NE 68434 | PRINCIPAL LIFE INSURANCE COMPANY | $15K | — | $15K | 6.61% |
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 | 280 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 280 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NEBRASKA | 476 | $3.1M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 375 | $227K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 375 | $227K |
| Life insurance(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 375 | $638K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 279 | $412K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 279 | $412K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 476 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.