| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| J G ELLIOTT COMPANY3 | PO BOX 1648 SCOTTSBLUFF, NE 69363 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 1.63% |
| J G ELLIOTT COMPANY3 | 1111 EAST 20TH ST SCOTTSBLUFF, NE 69361 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $6K | — | $6K | 7.65% |
| SENIOR MARKET SALES INC3 | 8420 W DODGE RD STE 510 OMAHA, NE 68114 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $2K | $2K | 2.01% |
| LORRIE KATELMAN3 | 1027 N 184TH ST ELKHORN, NE 68022 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.32% |
| GARY KATELMAN3 | P.O. BOX 540459 ELKHORN, NE 68022 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $47 | — | $47 | 0.06% |
| LONG TERM CARE FINANCIAL PARTNERS3 | 5110 CLARILLON POINT KIRKLAND, WA 98033 | MUTUAL OF OMAHA | $7K | — | $7K | 9.57% |
| AMERICAN INDEPENDENT MARKETING3 | P.O. BOX 9366 YAKIMA, WA 98909 | MUTUAL OF OMAHA | $2K | — | $2K | 3.00% |
| J G ELLIOTT COMPANY3 | PO BOX 1648 SCOTTSBLUFF, NE 69363 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 4.74% |
| ACSIA PARTNERS LLC3 Filed as: ACSIA LONG TERM CARE INC | 6201 PRESIDENTIAL COURT FORT MYERS, FL 33919 | LIFESECURE INSURANCE COMPANY | $2K | — | $2K | 5.29% |
| J G ELLIOTT COMPANY3 Filed as: J.G. ELLIOTT CO | PO BOX 1648 SCOTTSBLUFF, NE 69363 | AFLAC | $890 | — | $890 | 2.83% |
| KEVIN C ARMSTRONG3 | 4027 WEST FAIDLEY AVE GRAND ISLAND, NE 68803 | AFLAC | $638 | — | $638 | 2.03% |
| B.C. ENTERPRISES, INC.3 Filed as: B.C. ENTERPRISES, INC | 5151 N 150TH STREET OMAHA, NE 68116 | AFLAC | $409 | — | $409 | 1.30% |
| WILLIAM W ARMSTRONG3 | PO BOX 448 OGALLALA, NE 69153 | AFLAC | $270 | — | $270 | 0.86% |
| MARK FRIEHE3 | 4611 S 96TH ST STE 101 OMAHA, NE 68127 | AFLAC | $267 | — | $267 | 0.85% |
| WILLIAM W ARMSTRONG3 Filed as: WILLIAM K ARMSTRONG | 707 S 201ST AVE ELKHORN, NE 68022 | AFLAC | $209 | — | $209 | 0.66% |
| MARDEE LOUISE DOWNING BICE3 Filed as: MARDEE DOWNING BICE | 1713 1ST AVE SCOTTSBLUFF, NE 69361 | AFLAC | $158 | — | $158 | 0.50% |
| MICHELE K WILLEY3 Filed as: MICHELE WILLEY | 315 E RIVER RD STE 202 BRAINERD, MN 56401 | AFLAC | $157 | — | $157 | 0.50% |
| M P WILKEN INC3 | PO BOX 725 KEARNEY, NE 68848 | AFLAC | $108 | — | $108 | 0.34% |
| KURT HUDSON3 | 1415 COLORADO AVE ALLIANCE, NE 69301 | AFLAC | $75 | — | $75 | 0.24% |
| JTH INC3 | 2215 W A STREET NORTH PLATTE, NE 69101 | AFLAC | $49 | — | $49 | 0.16% |
| WILLINGHAM INC3 | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $44 | — | $44 | 0.14% |
| DEBORAH A BROOKS3 | 1620 E 4TH ST STE 114A NORTH PLATTE, NE 69101 | AFLAC | $38 | — | $38 | 0.12% |
| CRAVEN GORDON ENTERPRISES3 | 304 W 7TH ST GORDON, NE 69343 | AFLAC | $37 | — | $37 | 0.12% |
| GARY WILLINGHAM3 | 8116 STATE ROAD 66 ZOLFO SPRINGS, FL 33890 | AFLAC | $35 | — | $35 | 0.11% |
| THOMAS EDWARD SHEFFIELD3 Filed as: THOMAS SHEFFIELD | PO BOX 151 MCCOOL JUNCTION, NE 68401 | AFLAC | $32 | — | $32 | 0.10% |
| KEVIN B VINING3 Filed as: KEVIN B. VINING | 24747 HIDDEN VALLEY ROAD HERMOSA, SD 57744 | AFLAC | $28 | — | $28 | 0.09% |
| MICHAEL WILKEN3 | PO BOX 725 KEARNEY, NE 68848 | AFLAC | $27 | — | $27 | 0.09% |
| MIKE BROOMFIELD3 | O PRAIRIE HILLS ROAD MCCOOK, NE 69001 | AFLAC | $20 | — | $20 | 0.06% |
| RUBY BISHOP3 | 3726 JUNIPER DR SCOTTSBLUFF, NE 69361 | AFLAC | $18 | — | $18 | 0.06% |
| LISA JENKINS3 | 768 RANGER DRIVE CHEYENNE, WY 82009 | AFLAC | $14 | — | $14 | 0.04% |
| STARLA QUEEN3 | 1060 LAKEVIEW WEST RD BRULE, NE 69127 | AFLAC | $12 | — | $12 | 0.04% |
| MONTE HARNER3 | 1306 N MAIN ST FREMONT, NE 68025 | AFLAC | $10 | — | $10 | 0.03% |
| BRENT GOODE3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $9 | — | $9 | 0.03% |
| BEN JENKINS3 | 768 RANGER DRIVE CHEYENNE, WY 82009 | AFLAC | $8 | — | $8 | 0.03% |
| JAY QUEEN3 | 1260 LAKEVIEW WEST RD BRULE, NE 69127 | AFLAC | $6 | — | $6 | 0.02% |
| KAYTI SCHWARTING3 Filed as: KAYTI GORDON | 304 W 7TH ST GORDON, NE 69343 | AFLAC | $5 | — | $5 | 0.02% |
| JAMES D STEPHENS3 Filed as: JAMES STEPHENS | 26710 MANDRAKE FALLS CT KATY, TX 77494 | AFLAC | $4 | — | $4 | 0.01% |
| CYNTHIA D WELKEN-PLACE3 Filed as: CYNTHIA WELKEN-PLACE | 14710 W DODGE RD STE 200 OMAHA, NE 68154 | AFLAC | $4 | — | $4 | 0.01% |
| MICHAEL A MAYER3 Filed as: MICHAEL MAYER | PO BOX 5625 PASCO, WA 99302 | AFLAC | $4 | — | $4 | 0.01% |
| DENNIS GRAHAM3 | 10 DRIVER CLUB CODY, WY 82414 | AFLAC | $2 | — | $2 | 0.01% |
| JEFFREY HIMMELRICK3 | 2215 W A STREET NORTH PLATTE, NE 69101 | AFLAC | $2 | — | $2 | 0.01% |
| KIMBERLY DIAN CROCKETT3 Filed as: KIMBERLY CROCKETT | 732 SILVER SANDS DR CORDOVA, TN 38018 | AFLAC | $2 | — | $2 | 0.01% |
| DANIEL J MCMECHAN3 Filed as: DANIEL MCMECHAN | 2244 COUNTRY CLUB RD GRENADA, MS 38901 | AFLAC | $2 | — | $2 | 0.01% |
| KATHRYN BAILEY3 | PO BOX 82 HYATTVILLE, WY 82428 | AFLAC | $1 | — | $1 | 0.00% |
| LISA HALL3 | 2542 E SUNDOWN DR COEUR D ALENE, ID 83815 | AFLAC | $1 | — | $1 | 0.00% |
| MICHAEL COPPESS3 | 108 N 49TH ST SUITE 207 OMAHA, NE 68132 | AFLAC | $1 | — | $1 | 0.00% |
| JANICE ROBINSON3 | 22010 BRIDGESTONE HAWK CT SPRING, TX 77388 | AFLAC | $1 | — | $1 | 0.00% |
| KENNETH R THOMASON3 Filed as: KENNETH THOMASON | 4610 N 134TH AVE OMAHA, NE 68164 | AFLAC | $1 | — | $1 | 0.00% |
| DEANNA CHRISTENSEN3 | PO BOX 2175 ROCK SPRINGS, WY 82902 | AFLAC | $1 | — | $1 | 0.00% |
| JOSEPH LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | — | — | $0 | 0.00% |
| FRANCES OSTERMEIER3 | 345 COUNTY ROAD 3150 KEMPNER, TX 76539 | AFLAC | — | — | $0 | 0.00% |
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 | 261 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 261 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 74 | $183K |
| Dental | STANDARD INSURANCE COMPANY | 217 | $214K |
| Vision | AFLAC | 45 | $31K |
| Life insurance | STANDARD INSURANCE COMPANY | 259 | $73K |
| Short-term disability | AFLAC | 45 | $31K |
| Other(2 contracts, 2 carriers) | LIFESECURE INSURANCE COMPANY | 45 | $64K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 259 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.