No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 38-2383171 NONE | Plan Administrator Service code 14 | 700 TOWER DRIVE, SUITE 300 TROY, MI 48098 | $234K |
| BLAKE & UHLIG, PA EIN 48-0918231 NONE | Legal Service code 29 | 753 STATE AVENUE KANSAS CITY, MO 66101 | $96K |
| LEEHAR DISTRIBUTORS, INC EIN 43-0912223 NONE | Claims processing Service code 12 | 701 EMERSON ROAD, SUITE 301 CREVE COEUR, MO 63141 | $77K |
| UNITED ACTUARIAL SERVICES EIN 35-2156428 NONE | Actuarial Service code 11 | 11590 N. MERIDIAN ST. CARMEL, IN 460324529 | $51K |
| O'DONNELL, FICENEC, WILLS & FERDIG EIN 47-0387937 NONE | Accounting (including auditing) Service code 10 | 4815 SO. 107TH AVE. OMAHA, NE 68127 | $41K |
| SIMPLY WELL EIN 20-0261707 NONE | Other services Service code 49 | 9140 WEST DODGE ROAD, STE 408 OMAHA, NE 68114 | $38K |
| FIRST NATIONAL BANK OF OMAHA EIN 47-0259043 NONE | Custodial (securities) Service code 19 | 1620 DODGE ST OMAHA, NE 68102 | $35K |
| INVESTMENT CONSULTING GROUP, INC. EIN 47-1358707 NONE | Investment advisory (plan) Service code 27 | 5117 JERSEY RIDGE ROAD DAVENPORT, IA 52807 | $10K |
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 | 778 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 263 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,041 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NEBRASKA | 1,043 | $496K |
| Dental | BLUE CROSS BLUE SHIELD OF NEBRASKA | 1,043 | $496K |
| Vision | BLUE CROSS BLUE SHIELD OF NEBRASKA | 1,043 | $496K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 947 | $142K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 802 | $188K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 947 | $142K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,043 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.