| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| J G ELLIOTT COMPANY3 | PO BOX 1648 SCOTTSBLUFF, NE 69363 | COMPANION LIFE | $8K | — | $8K | 4.58% |
| GERALD G. HARTMAN3 Filed as: GERALD G HARTMAN | 1487 S DAVID LANE BOISE, ID 83705 | COMPANION LIFE | $4K | — | $4K | 2.29% |
| J G ELLIOTT COMPANY3 | PO BOX 1648 SCOTTSBLUFF, NE 69363 | COMPANION LIFE | $12K | — | $12K | 11.69% |
| GERALD G. HARTMAN3 Filed as: GERALD G HARTMAN | 1487 S DAVID LANE BOISE, ID 83705 | COMPANION LIFE | $6K | — | $6K | 5.85% |
| SENIOR MARKET SALES INC3 Filed as: SENIOR MARKET SALES INC. | 8420 W DODGE RD, SUITE 510 OMAHA, NE 68114 | PROVIDENT LIFE AND ACCIDENT | — | $2K | $2K | 2.94% |
| J G ELLIOTT COMPANY3 | PO BOX 1648 SCOTTSBLUFF, NE 69363 | PROVIDENT LIFE AND ACCIDENT | $2K | — | $2K | 2.57% |
| KATELMAN, LORRIE, FARRIS3 | 1027 N 184TH STREET ELKHORN, NE 68022 | PROVIDENT LIFE AND ACCIDENT | $263 | — | $263 | 0.35% |
| KATELMAN, LORRIE, FARRIS3 Filed as: KATELMAN, GARY, ANDREW | 1027 N 184TH STREET ELKHORN, NE 68022 | PROVIDENT LIFE AND ACCIDENT | $1 | — | $1 | 0.00% |
| LONG TERM CARE FINANCIAL PARTNERS3 | 5110 CLARILLON POINT KIRKLAND, WA 98033 | MUTUAL OF OMAHA | $7K | — | $7K | 9.51% |
| AMERICAN INDEPENDENT MARKETING3 | P.O. BOX 9366 YAKIMA, WA 98909 | MUTUAL OF OMAHA | $2K | — | $2K | 3.00% |
| NATHEN T GORTEMAKER3 | 7093 SUNDANCE LOOP CHEYENNE, WY 82009 | AFLAC | $4K | — | $4K | 8.88% |
| ANNETTE S WULFF3 | 471 E SCENIC DR GRAND JUNCTION, CO 81507 | AFLAC | $876 | — | $876 | 1.95% |
| J G ELLIOTT COMPANY3 Filed as: J.G. ELLIOTT CO | PO BOX 1648 SCOTTSBLUFF, NE 69363 | AFLAC | $695 | — | $695 | 1.55% |
| DB INSURANCE INC3 Filed as: DB BENEFITS INC | 1620 E 4TH ST STE 114A NORTH PLATTE, NE 69101 | AFLAC | $613 | — | $613 | 1.36% |
| KEVIN C ARMSTRONG3 | 4027 WEST FAIDLEY AVE GRAND ISLAND, NE 68803 | AFLAC | $559 | — | $559 | 1.24% |
| MICHELE K WILLEY3 | 500 S FLORIDA AVE STE 400-12 LAKELAND, FL 33801 | AFLAC | $334 | — | $334 | 0.74% |
| B.C. ENTERPRISES, INC.3 | 5151 N 150TH STREET OMAHA, NE 68116 | AFLAC | $267 | — | $267 | 0.59% |
| WILLIAM W ARMSTRONG3 | PO BOX 448 OGALLALA, NE 69153 | AFLAC | $254 | — | $254 | 0.57% |
| WILLIAM W ARMSTRONG3 Filed as: WILLIAM K ARMSTRONG | 707 S 201ST AVE ELKHORN, NE 68022 | AFLAC | $213 | — | $213 | 0.47% |
| MARK FRIEHE3 Filed as: MARK E FRIEHE | 11218 JOHN GALT BLVD STE 101 OMAHA, NE 68137 | AFLAC | $192 | — | $192 | 0.43% |
| MARDEE LOUISE DOWNING BICE3 | 1713 1ST AVE SCOTTSBLUFF, NE 69361 | AFLAC | $161 | — | $161 | 0.36% |
| ASPEN R LLC3 | 752 MAIN AVE STE 201 DURANGO, CO 81301 | AFLAC | $138 | — | $138 | 0.31% |
| JAY QUEEN3 | 1260 LAKEVIEW WEST RD BRULE, NE 69127 | AFLAC | $99 | — | $99 | 0.22% |
| MICHAEL WILKEN3 | 3811 29TH AVE STE 5 KEARNEY, NE 68845 | AFLAC | $99 | — | $99 | 0.22% |
| MANUAL A MADRID3 | 1048 INDEPENDENT AVE STE A207 GRAND JUNCTION, CO 81505 | AFLAC | $89 | — | $89 | 0.20% |
| MANNY AM LLC3 | 1048 INDEPENDENT AVE STE A207 GRAND JUNCTION, CO 81505 | AFLAC | $74 | — | $74 | 0.16% |
| KURT HUDSON3 | 1415 COLORADO AVE ALLIANCE, NE 69301 | AFLAC | $68 | — | $68 | 0.15% |
| B.C. ENTERPRISES, INC.3 | 5151 N 150TH STREET OMAHA, NE 68116 | AFLAC | $61 | — | $61 | 0.14% |
| TRAVIS L WILLEY3 | 203 COOPER AVE N STE 350 SAINT CLOUD, MN 56303 | AFLAC | $52 | — | $52 | 0.12% |
| MANNY AM LLC3 | 596 ANNA RD IGNACIO, CO 81137 | AFLAC | $50 | — | $50 | 0.11% |
| FIRST INSURANCE GROUP LLC3 | PO BOX 910 ALLIANCE, NE 69301 | AFLAC | $48 | — | $48 | 0.11% |
| JTH INC3 | 2215 W A STREET NORTH PLATTE, NE 69101 | AFLAC | $46 | — | $46 | 0.10% |
| STARLA QUEEN3 | 1060 LAKEVIEW WEST RD BRULE, NE 69127 | AFLAC | $44 | — | $44 | 0.10% |
| KEVIN B VINING3 Filed as: KEVIN B. VINING | 24747 HIDDEN VALLEY ROAD HERMOSA, SD 57744 | AFLAC | $41 | — | $41 | 0.09% |
| PLUMMER INSURANCE INC3 | PO BOX 548 BRIDGEPORT, NE 69336 | AFLAC | $41 | — | $41 | 0.09% |
| STEPHENI L PITTS3 | 1426 AVENUE N SCOTTSBLUFF, NE 69361 | AFLAC | $37 | — | $37 | 0.08% |
| KS BENEFITS GROUP INC3 | 304 W 7TH ST GORDON, NE 69343 | AFLAC | $34 | — | $34 | 0.08% |
| THOMAS EDWARD SHEFFIELD3 Filed as: THOMAS SHEFFIELD | PO BOX 151 MCCOOL JUNCTION, NE 68401 | AFLAC | $30 | — | $30 | 0.07% |
| WILLINGHAM INC3 | 1502 N METCALF LOUISBURG, KS 66053 | AFLAC | $29 | — | $29 | 0.06% |
| GARY WILLINGHAM3 | 6033 STRAFFORD OAKS DR SEBRING, FL 33875 | AFLAC | $29 | — | $29 | 0.06% |
| GREG LITZ3 | 10 S 3RD ST GRAND FORKS, ND 58201 | AFLAC | $25 | — | $25 | 0.06% |
| MICHAEL P WILKEN3 | PO BOX 725 KEARNEY, NE 68848 | AFLAC | $23 | — | $23 | 0.05% |
| BEN JENKINS3 | 768 RANGER DR CHEYENNE, WY 82009 | AFLAC | $23 | — | $23 | 0.05% |
| LISA JENKINS3 Filed as: LISA J JENKINS | 768 RANGER DR CHEYENNE, WY 82009 | AFLAC | $21 | — | $21 | 0.05% |
| NANCY MAYER3 | PO BOX 5625 PASCO, WA 99302 | AFLAC | $21 | — | $21 | 0.05% |
| TRAVIS L WILLEY3 | 13909 RIVER WILLOW PL TAMPA, FL 33637 | AFLAC | $20 | — | $20 | 0.04% |
| BRENT L GOODE3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $20 | — | $20 | 0.04% |
| KAYTI SCHWARTING3 | 304 W 7TH ST GORDON, NE 69343 | AFLAC | $17 | — | $17 | 0.04% |
| MIKE BROOMFIELD3 | 889 W CAMPBELL STREET MINDEN, NE 68959 | AFLAC | $15 | — | $15 | 0.03% |
| RUBY BISHOP3 | 3726 JUNIPER DR SCOTTSBLUFF, NE 69361 | AFLAC | $13 | — | $13 | 0.03% |
| MONTE HARNER3 | 1431 N 59TH ST LINCOLN, NE 68505 | AFLAC | $12 | — | $12 | 0.03% |
| MICHAEL A MAYER3 | PO BOX 5625 PASCO, WA 99302 | AFLAC | $12 | — | $12 | 0.03% |
| MONTE HARNER3 Filed as: MONTE G HARNER | 1306 N MAIN ST FREMONT, NE 68025 | AFLAC | $10 | — | $10 | 0.02% |
| MICHELLE A JOHNSON3 | 437 CR 83 SIDNEY, NE 69162 | AFLAC | $9 | — | $9 | 0.02% |
| JAMES D STEPHENS3 Filed as: JAMES STEPHENS | 26710 MANDRAKE FALLS CT KATY, TX 77494 | AFLAC | $8 | — | $8 | 0.02% |
| JEFFREY HIMMELRICK3 | 2215 W A STREET NORTH PLATTE, NE 69101 | AFLAC | $8 | — | $8 | 0.02% |
| MICHAEL COPPESS3 | 108 N 49TH ST SUITE 207 OMAHA, NE 68132 | AFLAC | $8 | — | $8 | 0.02% |
| KENNETH R THOMASON3 Filed as: KENNETH THOMASON | 4610 N 134TH AVE OMAHA, NE 68164 | AFLAC | $7 | — | $7 | 0.02% |
| MICHAEL CEJKA3 | 5901 BRANFORD PL LINCOLN, NE 68512 | AFLAC | $7 | — | $7 | 0.02% |
| KIMBERLY DIAN CROCKETT3 Filed as: KIMBERLY CROCKETT | 1563 ASHLEY CREEK LN CORDOVA, TN 38016 | AFLAC | $6 | — | $6 | 0.01% |
| DANIEL J MCMECHAN3 Filed as: DANIEL MCMECHAN | 2244 COUNTRY CLUB RD GRENADA, MS 38901 | AFLAC | $6 | — | $6 | 0.01% |
| LISA M HALL3 | 2542 E SUNDOWN DR COEUR D ALENE, ID 83815 | AFLAC | $6 | — | $6 | 0.01% |
| KRINGS ENTERPRISES INC3 Filed as: S KRINGS ENTERPRISES INC | 1330 PRAIRIE RIDGE DR POLK CITY, IA 50226 | AFLAC | $5 | — | $5 | 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% |
| JOSEPH LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $4 | — | $4 | 0.01% |
| JANICE ROBINSON3 | 22010 BRIDGESTONE HAWK CT SPRING, TX 77388 | AFLAC | $3 | — | $3 | 0.01% |
| KRINGS ENTERPRISES INC3 | 11116 AURORA AVE URBANDALE, IA 50322 | AFLAC | $3 | — | $3 | 0.01% |
| ANDREW CASTILLO-POWELL3 | 240780 HIGHLAND RD SCOTTSBLUFF, NE 69361 | AFLAC | $3 | — | $3 | 0.01% |
| FRANCES OSTERMEIER3 | 215 COLETON DR COPPERAS COVE, TX 76522 | AFLAC | $1 | — | $1 | 0.00% |
| BRANDON M. DRAEGER3 Filed as: BRANDON M DRAEGER | 649 COUNTY ROAD 2500 CRETE, NE 68333 | AFLAC | $1 | — | $1 | 0.00% |
| CRAIG MICHELSEN3 | 1228 25TH AVE SW GREATS FALLS, MT 59404 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES A PORTER3 | 223 STILLWATER CREEK DR BOZEMAN, MT 59718 | AFLAC | $1 | — | $1 | 0.00% |
| JULIE CEJKA3 | 28301 POST ROCK CIR FIRTH, NE 68358 | AFLAC | — | — | $0 | 0.00% |
| ACSIA PARTNERS LLC3 Filed as: ACSIA LONG TERM CARE INC | 6201 PRESIDENTIAL COURT FORT MYERS, FL 33919 | LIFESECURE INSURANCE COMPANY | $3K | — | $3K | 9.25% |
| SENIOR COMMISSION FUNDING LLC3 | 6201 PRESIDENTIAL COURT FORT MYERS, FL 33919 | LIFESECURE INSURANCE COMPANY | $1K | — | $1K | 3.75% |
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 | 285 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 285 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | PROVIDENT LIFE AND ACCIDENT | 69 | $190K |
| Dental | COMPANION LIFE | 227 | $181K |
| Vision | AFLAC | 69 | $45K |
| Life insurance | COMPANION LIFE | 287 | $105K |
| Short-term disability | AFLAC | 69 | $45K |
| Other(2 contracts, 2 carriers) | AFLAC | 69 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 287 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.