Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe primary carrier changed from the prior filing. The plan has shown it will move. Pitch it again on the next cycle.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
HealthRxDentalVisionLifeSTDLTDStop-lossOther | HealthRxDentalVisionLifeSTDLTDStop-lossOther | |
Broker: Jones Insurance Agency LifeSTD | LifeSTD |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 3 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 118 | 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) | 118 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GREAT MIDWEST INSURANCE COMPANY (GMIC) | 0 | $554K |
| Dental | GREAT MIDWEST INSURANCE COMPANY (GMIC) | 0 | $554K |
| Vision | GREAT MIDWEST INSURANCE COMPANY (GMIC) | 0 | $554K |
| Life insurance(3 contracts, 2 carriers) | GREAT MIDWEST INSURANCE COMPANY (GMIC) | 94 | $591K |
| Short-term disability(2 contracts, 2 carriers) | GREAT MIDWEST INSURANCE COMPANY (GMIC) | 94 | $564K |
| Long-term disability | GREAT MIDWEST INSURANCE COMPANY (GMIC) | 0 | $554K |
| Prescription drug | GREAT MIDWEST INSURANCE COMPANY (GMIC) | 0 | $554K |
| Stop-loss / reinsurancereinsurance | GREAT MIDWEST INSURANCE COMPANY (GMIC) | 0 | $554K |
| Other | GREAT MIDWEST INSURANCE COMPANY (GMIC) | 0 | $554K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 94 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: United of Omaha Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| POINT C EIN 39-0819344 TPA | Claims processing Service code 12 | 402 GRAHAM AVE EAU CLAIRE, WI 54701 | $86K |
| JONES INSURANCE AGENCY INC. EIN 47-0766210 BROKER | Insurance agents and brokers Service code 22 | 1831 N 4TH STREET DAVID CITY, NE 68632 | $40K |
| PHCS - PRIVATE HEALTH CARE SYSTEMS CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | PO BOX 1607 DES PLAINES, IL 600171607 | $12K |
| PARTNERS HEALTH ALLIANCE LLC EIN 47-2739227 INSURANCE SERVICES | Insurance agents and brokers Service code 22 | 106 WEST 3RD ST PO BOX 488 MCCOOK, NE 69001 | $11K |
| WILCOX FINANCIAL SERVICES INC. EIN 91-1858491 BROKER | Insurance agents and brokers Service code 22 | 106 WEST 3RD ST PO BOX 26 MCCOOK, NE 69001 | $11K |
| PHIA GROUP CONSULTING EIN 46-1439866 CONSULTING | Consulting (general) Service code 16 | 40 PEQUOT WAY CANTON, MA 02021 | $9K |
| AMERITAS EIN 47-0098400 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | PO BOX 81889 LINCOLN, NE 68501 | $7K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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11 filings · 2015 to 2025