| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 1040 CROWN POINTE PKWY STE 700 ATLANTA, GA 303384770 | AMERITAS LIFE INSURANCE CORP. | $7K | — | $7K | 8.37% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SILVERSTONE GROUP, INC | PO BOX 542006 OMAHA, NE 68154 | AMERITAS LIFE INSURANCE CORP. | $1K | — | $1K | 1.63% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 50 BRAINTREE HILL OFICE PARK STE 310 BRAINTREE, MA 021848724 | AMERITAS LIFE INSURANCE CORP. | — | $362 | $362 | 0.46% |
| J2T2 ENTERPRISES INC3 | 10135 S 162ND ST OMAHA, NE 68136 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | — | $6K | 9.38% |
| THG BENEFITS, INC3 | 10135 S 162ND ST OMAHA, NE 68136 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 3.99% |
| TODD H BURRER3 | 17445 ARBOR ST SUITE 300 OMAHA, NE 68130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.18% |
| KEVIN S HARRINGTON3 | 4800 HUDDERS FIELD CT LINCOLN, NE 68516 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 1.77% |
| MARK FRIEHE3 | 4611 S 96TH ST STE 101 OMAHA, NE 68127 | CONTINENTAL AMERICAN INSURANCE COMPANY | $888 | — | $888 | 1.37% |
| STEVEN R YENNEY3 | 4251 165TH ST ELKHORN, NE 68022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $457 | — | $457 | 0.70% |
| CYNTHIA D WELKEN-PLACE3 | 14710 WEST DOSGE RD STE 200 OMAHA, NE 68154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $383 | — | $383 | 0.59% |
| GREG A LITZ3 | 2005 GATEWAY DR GRAND FORKS, ND 58203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $287 | — | $287 | 0.44% |
| THOMAS E SHEFFIELD3 | PO BOX 151 MCCOOL JUNCTION, NE 68401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $263 | — | $263 | 0.41% |
| RENEE J DOLLWET3 | 11110 3RD AVE E BRADENTON, FL 34212 | CONTINENTAL AMERICAN INSURANCE COMPANY | $243 | — | $243 | 0.37% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: SILVERSTONE GROUP | 11516 MIRACLE HILLS DR OMAHA, NE 68154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $207 | — | $207 | 0.32% |
| KRISTY M PIETRO3 | 530 SOUTH 161ST CIR OMAHA, NE 68118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $135 | — | $135 | 0.21% |
| KENNETH R THOMASON3 | 14710 WEST DODGE RD SUITE 200 OMAHA, NE 68154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $97 | — | $97 | 0.15% |
| MICHAEL S CEJKA3 | 613 CEDAR ST HICKMAN, NE 68372 | CONTINENTAL AMERICAN INSURANCE COMPANY | $68 | — | $68 | 0.10% |
| KIMBERLY DIAN CROCKETT3 Filed as: KIMBERLY D CROCKETT | 732 SILVER SANDS DR CORDOVA, TN 38018 | CONTINENTAL AMERICAN INSURANCE COMPANY | $25 | — | $25 | 0.04% |
| MICHAEL COPPESS3 | 4910 DODGE ST STE 107 OMAHA, NE 68132 | CONTINENTAL AMERICAN INSURANCE COMPANY | $25 | — | $25 | 0.04% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP. | 0 | $79K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 0 | $79K |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 0 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.