| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| OLSON, TIMOTHY H3 | 16820 FRANCES STREET SUITE 101 OMAHA, NE 68130 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 8.00% |
| TIM OLSON INC3 | 16820 FRANCES STREET SUITE 202 OMAHA, NE 68130 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $2K | $2K | 2.50% |
| TIM OLSON INC3 | 16820 FRANCES STREET SUITE 202 OMAHA, NE 68130 | AMERITAS LIFE INSURANCE CORPORATION | $1K | $325 | $1K | 4.52% |
| OLSON, TIMOTHY H3 | 16820 FRANCES STREET SUITE 101 OMAHA, NE 68130 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 8.00% |
| TIM OLSON INC3 | 16820 FRANCES STREET SUITE 202 OMAHA, NE 68130 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $599 | $599 | 2.50% |
| COSTANZO & ASSOCIATES INC3 | 10416 NORTH 48TH STREET OMAHA, NE 68152 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 5.35% |
| TIM OLSON INC3 Filed as: TIM OLSON, INC | 20214 VETERANS DRIVE SUITE 200 ELKHORN, NE 68022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $816 | — | $816 | 3.67% |
| MITCHELL FRIEHE & ASSOCIATES INC3 | 16909 PALISADES DRIVE OMAHA, NE 68136 | CONTINENTAL AMERICAN INSURANCE COMPANY | $616 | — | $616 | 2.77% |
| MARK FRIEHE3 | 4611 SOUTH 96TH STREET SUITE 101 OMAHA, NE 68127 | CONTINENTAL AMERICAN INSURANCE COMPANY | $413 | — | $413 | 1.86% |
| CHRISTOPHER L MILLER3 | 610 SOUTH 55TH STREET OMAHA, NE 68106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $227 | — | $227 | 1.02% |
| TODD H BURRER3 | 17445 ARBOR STREET SUITE 300 OMAHA, NE 68130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $162 | — | $162 | 0.73% |
| OLSON, TIMOTHY H3 Filed as: THE OLSON GROUP | — | SIMPLYWELL | $363 | — | $363 | 7.94% |
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 | 139 | 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) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | AMERITAS LIFE INSURANCE CORPORATION | 308 | $32K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 139 | $108K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 139 | $84K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 139 | $84K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 88 | $553K |
| Other(5 contracts, 4 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 308 | $167K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 308 | — |
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.