| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| OLSON, TIMOTHY H3 Filed as: THE OLSON GROUP | 16820 FRANCES STREET, SUITE 202 OMAHA, NE 68130 | BLUE CROSS BLUE SHIELD OF NEBRASKA | $22K | $2K | $24K | 2.34% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP | 18940 N PIMA RD, STE 210 SCOTTSDALE, AZ 85255 | AMERICAN FIDELITY ASSURANCE COMPANY | $17K | — | $17K | 5.00% |
| OLSON, TIMOTHY H3 Filed as: THE OLSON GROUP | 16820 FRANCES STREET, SUITE 202 OMAHA, NE 68130 | AMERITAS LIFE INSURANCE CORP | $5K | $1K | $6K | 7.24% |
| PATRIOT GROWTH INSURANCE SERVICES3 | 16820 FRANCES STREET, SUITE 202 OMAHA, NE 68130 | AMERITAS LIFE INSURANCE CORP | $3K | — | $3K | 4.04% |
| VHA MID AMERICA INS SVCS3 | PO BOX 842167 DALLAS, TX 75284 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| VESTA VOLUNTARY SPECIALISTS INC3 Filed as: VESTA VOLUNTARY SPECIALISTS | 8790 F STREET, STE 204 OMAHA, NE 68127 | AFLAC | $2K | — | $2K | 7.50% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INS SERVICES LLC | 501 OFFICE CENTER DR, STE 215 FORT WASHINGTON, PA 19034 | AFLAC | $1K | — | $1K | 4.75% |
| CHARLES L PRICE3 Filed as: CHARLES PRICE | 915 E DONEGAL ST ONEILL, NE 68763 | AFLAC | $647 | — | $647 | 2.13% |
| MJ INSURANCE3 Filed as: KRINGS ENTERPRISES & VARIOUS AGENTS | 1330 PRAIRIE RIDGE DR POLK CITY, IA 50226 | AFLAC | $240 | — | $240 | 0.79% |
| TONI L HARMS3 Filed as: TONI HARMS | 5925 E STATE HIGHWAY 41 ADAMS, NE 68301 | AFLAC | $117 | — | $117 | 0.39% |
| MARJORIE A ZISKA3 Filed as: MARJORIE ZISKA | 524 E DONEGAL ST ONEILL, NE 68763 | AFLAC | $90 | — | $90 | 0.30% |
| KIM I THROCKMORTON3 Filed as: KIM THROCKMORTON | 1106 ELDORADO RD, APT C NORFOLK, NE 68701 | AFLAC | $60 | — | $60 | 0.20% |
| VHA MID AMERICA INS SVCS3 | PO BOX 842167 DALLAS, TX 75284 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| VHA MID AMERICA INS SVCS3 | PO BOX 842167 DALLAS, TX 75284 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $700 | — | $700 | 10.01% |
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 | 117 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NEBRASKA | 171 | $1.0M |
| Dental | AMERITAS LIFE INSURANCE CORP | 239 | $84K |
| Vision | AMERITAS LIFE INSURANCE CORP | 239 | $84K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 117 | $44K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 43 | $28K |
| Stop-loss / reinsurancereinsurance | AMERICAN FIDELITY ASSURANCE COMPANY | 85 | $341K |
| Other(3 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 117 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 239 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.