| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10050 REGENCY CIRCLE STE 300 OMAHA, NE 68114 | AETNA LIFE INSURANCE CO. | $7K | — | $7K | 4.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10050 REGENCY CIRCLE STE 300 OMAHA, NE 68114 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $2K | $2K | 1.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10050 REGENCY CIRCLE STE 300 OMAHA, NE 68114 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $581 | $581 | 1.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10050 REGENCY CIRCLE STE 300 OMAHA, NE 68114 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $395 | $395 | 1.04% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10050 REGENCY CIRCLE STE 300 OMAHA, NE 68114 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 10.84% |
| ROBERT E ELLIS3 | 11261 WRIGHT CIRCLE OMAHA, NE 68144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $941 | $71 | $1K | 4.42% |
| MA STILES LLC3 | 12223 CUMING ST OMAHA, NE 68154 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $545 | $8 | $553 | 2.41% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10050 REGENCY CIRCLE OMAHA, NE 68114 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $528 | $14 | $542 | 2.37% |
| HOVIE AGENCY LLC3 | 11261 WRIGHT CIRCLE OMAHA, NE 68144 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $222 | $18 | $240 | 1.05% |
| HFS BENEFITS GROUP LLC3 | 1010 S 120TH ST OMAHA, NE 68154 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $29 | — | $29 | 0.13% |
| RICHARD J WILKINSON3 | PO BOX 355 BOYSTOWN, NE 68010 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | — | $20 | 0.09% |
| DUANE A ADAMS3 Filed as: DUANE L GOTTSCH | 2220 NORTH 172ND AVENUE OMAHA, NE 68116 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.04% |
| RICHARD G MCGOWAN3 | 1716 N 59TH STREET OMAHA, NE 68104 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.04% |
| THOMAS JAMES BUTLER3 | 7913 N 164TH ST BENNINGTON, NE 68007 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| DWAYNE P MURPHY3 | C/O DWAYNE MURPHY PALM DESERT, CA 92253 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10050 REGENCY CIRCLE STE 300 OMAHA, NE 68114 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $51 | $51 | 1.16% |
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 | 562 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 562 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE CO. | 562 | $179K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 450 | $25K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 449 | $38K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 449 | $141K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 130 | $52K |
| Other(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 450 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 562 | — |
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."
No prospect flags tripped on this filing.