| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNICO MIDLANDS LLC3 | 1128 LINCOLN MALL STE 200 LINCOLN, NE 68508 | AMERITAS LIFE INSURANCE CORP | $1K | $384 | $2K | 2.80% |
| INSPRO INC3 | PO BOX 689 FREMONT, NE 68026 | AMERITAS LIFE INSURANCE CORP | $1K | $168 | $1K | 2.24% |
| INSPRO INC3 | PO BOX 6847 LINCOLN, NE 68506 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 5.69% |
| UNICO MIDLANDS LLC3 | 7101 S 82ND STREET LINCOLN, NE 68516 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | $307 | — | $307 | 1.02% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE USA | 122 SOUTH MICHIGAN AVENUE, STE 1100 CHICAGO, IL 60603 | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $45 | $45 | 0.15% |
| THOMAS FULLER3 | 1830 BRENT BLVD LINCOLN, NE 68506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $263 | $2K | 8.70% |
| INSPRO INC3 | PO BOX 689 FREMONT, NE 68025 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $758 | — | $758 | 3.49% |
| ROBERT ELLIS3 | 11261 WRIGHT CIRCLE OMAHA, NE 68144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $274 | $60 | $334 | 1.54% |
| KRISTI LYN HOVIE3 Filed as: KRISTI HOVIE | 11261 WRIGHT CIRCLE OMAHA, NE 68144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $226 | $81 | $307 | 1.41% |
| JULIA C SHARP3 Filed as: JULIA SHARP | 5810 NORTH 166TH ST OMAHA, NE 68116 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | — | $17 | 0.08% |
| INSPRO INC | PO BOX 689 FREMONT, NE 68025 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $933 | — | $933 | 7.44% |
| UNICO GROUP INC | 1128 LINCOLN MALL STE 200 LINCOLN, NE 68508 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $319 | — | $319 | 2.54% |
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 | 94 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 94 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NEBRASKA | 173 | $808K |
| Dental | AMERITAS LIFE INSURANCE CORP | 222 | $66K |
| Life insurance(3 contracts, 3 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 135 | $64K |
| Long-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 122 | $30K |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 122 | $30K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 222 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.