| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| J G ELLIOTT COMPANY3 | PO BOX 1648 SCOTTSBLUFF, NE 69363 | COMPANION LIFE | $20K | — | $20K | 3.31% |
| GERALD G. HARTMAN3 Filed as: GERALD G HARTMAN | 1487 S DAVID LANE BOISE, ID 83705 | COMPANION LIFE | $10K | — | $10K | 1.66% |
| SENIOR MARKET SALES INC3 Filed as: SENIOR MARKET SALES INC. | 8420 W DODGE RD, SUITE 510 OMAHA, NE 68114 | PROVIDENT LIFE AND ACCIDENT | — | $3K | $3K | 3.09% |
| J G ELLIOTT COMPANY3 | PO BOX 1648 SCOTTSBLUFF, NE 69363 | PROVIDENT LIFE AND ACCIDENT | $1K | — | $1K | 1.68% |
| KATELMAN, LORRIE, FARRIS3 | 1027 N 184TH STREET ELKHORN, NE 68022 | PROVIDENT LIFE AND ACCIDENT | $332 | — | $332 | 0.39% |
| DONITA ALLEN3 | 40173 WILLOW DR MITCHELL, NE 69357 | AFLAC | $4K | — | $4K | 5.09% |
| DRA BENEFITS LLC3 | 40173 WILLOW DR MITCHELL, NE 69357 | AFLAC | $2K | — | $2K | 2.26% |
| CLINT ANDERSEN3 | PO BOX 586 RUSHVILLE, NE 69360 | AFLAC | $1K | — | $1K | 1.93% |
| JEA PROTECTION3 | PO BOX 586 RUSHVILLE, NE 69360 | AFLAC | $1K | — | $1K | 1.87% |
| ANNETTE S WULFF3 | 471 E SCENIC DR GRAND JUNCTION, CO 81507 | AFLAC | $820 | $228 | $1K | 1.51% |
| CNJA INC3 | PO BOX 586 RUSHVILLE, NE 69360 | AFLAC | $752 | — | $752 | 1.08% |
| KAYTI SCHWARTING3 Filed as: KAYTI LYNN SCHWARTING | 304 W 7TH ST GORDON, NE 69343 | AFLAC | $697 | — | $697 | 1.00% |
| NATHEN T GORTEMAKER3 | 7093 SUNDANCE LOOP CHEYENNE, WY 82009 | AFLAC | $695 | — | $695 | 1.00% |
| KS BENEFITS GROUP INC3 | 304 W 7TH ST GORDON, NE 69343 | AFLAC | $673 | — | $673 | 0.97% |
| LYNN DOUGLAS ANDERSEN3 | 5956 450TH LN HAY SPRINGS, NE 69347 | AFLAC | $561 | $61 | $622 | 0.90% |
| J G ELLIOTT COMPANY3 Filed as: J.G. ELLIOTT CO | PO BOX 1648 SCOTTSBLUFF, NE 69363 | AFLAC | $525 | — | $525 | 0.76% |
| KEVIN C ARMSTRONG3 | 4027 WEST FAIDLEY AVE GRAND ISLAND, NE 68803 | AFLAC | $451 | — | $451 | 0.65% |
| ALCORN INC3 | 204 LARIAT ST GORDON, NE 69343 | AFLAC | $280 | — | $280 | 0.40% |
| JEAN ANDERSEN3 | 312 CHAMBERLAIN AVE RUSHVILLE, NE 69360 | AFLAC | $215 | — | $215 | 0.31% |
| WILLIAM W ARMSTRONG3 | PO BOX 448 OGALLALA, NE 69153 | AFLAC | $214 | — | $214 | 0.31% |
| MICHELE K WILLEY3 | 122 E MAIN ST 185 LAKELAND, FL 33801 | AFLAC | $200 | — | $200 | 0.29% |
| DB INSURANCE INC3 Filed as: DB BENEFITS INC | 1620 E 4TH ST STE 114A NORTH PLATTE, NE 69101 | AFLAC | $185 | — | $185 | 0.27% |
| ADRIAN ERIC SALAZAR3 | 109 TICKSEED AVE SAVOY, IL 61874 | AFLAC | $131 | $46 | $177 | 0.25% |
| WILLIAM W ARMSTRONG3 Filed as: WILLIAM K ARMSTRONG | 707 S 201ST AVE ELKHORN, NE 68022 | AFLAC | $173 | — | $173 | 0.25% |
| ASPEN R LLC3 Filed as: ASPEN R MADRID | 4624 141ST LN NE HAM LAKE, MN 55304 | AFLAC | $113 | $46 | $159 | 0.23% |
| MARDEE LOUISE DOWNING BICE3 | 1713 1ST AVE SCOTTSBLUFF, NE 69361 | AFLAC | $156 | — | $156 | 0.22% |
| B.C. ENTERPRISES, INC.3 | 5151 N 150TH STREET OMAHA, NE 68116 | AFLAC | $135 | — | $135 | 0.19% |
| MARK FRIEHE3 Filed as: MARK E FRIEHE | 11218 JOHN GALT BLVD STE 101 OMAHA, NE 68137 | AFLAC | $124 | — | $124 | 0.18% |
| JAY QUEEN3 | 1260 LAKEVIEW WEST RD BRULE, NE 69127 | AFLAC | $90 | — | $90 | 0.13% |
| THE MADRID AGENCY INC3 | 6282 DOUGLAS CT N CHAMPLIN, MN 55316 | AFLAC | $76 | — | $76 | 0.11% |
| JILL ALCORN3 | 204 LARIAT ST GORDON, NE 69343 | AFLAC | $70 | — | $70 | 0.10% |
| MICHAEL P WILKEN3 | PO BOX 141 STE 5 OXFORD, NE 68967 | AFLAC | $69 | — | $69 | 0.10% |
| TRAVIS L WILLEY3 | 673 17TH ST S SARTELL, MN 56377 | AFLAC | $65 | — | $65 | 0.09% |
| KURT HUDSON3 | 1415 COLORADO AVE ALLIANCE, NE 69301 | AFLAC | $54 | — | $54 | 0.08% |
| ELIZABETH FAY ASAY | 453 BULLA DR GRAND JUNCTION, CO 81504 | AFLAC | $52 | — | $52 | 0.07% |
| MICHELLE A JOHNSON3 | 437 CR 83 SIDNEY, NE 69162 | AFLAC | $46 | — | $46 | 0.07% |
| AMY M BUCHANAN3 | 1584 RIDGE RD DURANGO, CO 81303 | AFLAC | $43 | — | $43 | 0.06% |
| FIRST INSURANCE GROUP LLC3 | PO BOX 910 ALLIANCE, NE 69301 | AFLAC | $42 | — | $42 | 0.06% |
| STARLA QUEEN3 | 1060 LAKEVIEW WEST RD BRULE, NE 69127 | AFLAC | $40 | — | $40 | 0.06% |
| PLUMMER INSURANCE INC3 | PO BOX 548 BRIDGEPORT, NE 69336 | AFLAC | $37 | — | $37 | 0.05% |
| KEVIN B VINING3 Filed as: KEVIN B. VINING | 47269 255TH ST RENNER, SD 57055 | AFLAC | $34 | — | $34 | 0.05% |
| MONTE HARNER3 | 9150 LEIGHTON AVE LINCOLN, NE 68507 | AFLAC | $33 | — | $33 | 0.05% |
| GREG LITZ3 | 10 S 3RD ST GRAND FORKS, ND 58201 | AFLAC | $28 | — | $28 | 0.04% |
| JTH INC3 | 2215 W A STREET NORTH PLATTE, NE 69101 | AFLAC | $26 | — | $26 | 0.04% |
| RIHA BENEFITS GROUP INC3 | 302 E 6TH ST STUART, NE 68780 | AFLAC | $26 | — | $26 | 0.04% |
| BRENT L GOODE3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $24 | — | $24 | 0.03% |
| KRINGS ENTERPRISES INC3 Filed as: S KRINGS ENTERPRISES INC | 1330 PRAIRIE RIDGE DR POLK CITY, IA 50226 | AFLAC | $24 | — | $24 | 0.03% |
| BEN JENKINS3 | 768 RANGER DR CHEYENNE, WY 82009 | AFLAC | $23 | — | $23 | 0.03% |
| LISA JENKINS3 Filed as: LISA J JENKINS | 768 RANGER DR CHEYENNE, WY 82009 | AFLAC | $21 | — | $21 | 0.03% |
| NANCY MAYER3 | PO BOX 5625 PASCO, WA 99302 | AFLAC | $21 | — | $21 | 0.03% |
| WILLINGHAM INC3 | 35354 MISSION BELLEVIEW RD LOUISBURG, KS 66053 | AFLAC | $20 | — | $20 | 0.03% |
| MICHAEL CEJKA3 | 2854 BRUMMOND DR LINCOLN, NE 68516 | AFLAC | $19 | — | $19 | 0.03% |
| MANUEL A MADRID3 | 6282 DOUGLAS CT N CHAMPLIN, CO 55316 | AFLAC | $19 | — | $19 | 0.03% |
| GARY WILLINGHAM3 | 6033 STRAFFORD OAKS DR SEBRING, FL 33875 | AFLAC | $16 | — | $16 | 0.02% |
| THOMAS EDWARD SHEFFIELD3 Filed as: THOMAS SHEFFIELD | PO BOX 151 MCCOOL JUNCTION, NE 68401 | AFLAC | $16 | — | $16 | 0.02% |
| KRINGS ENTERPRISES INC3 | 1330 PRAIRIE RIDGE DR POLK CITY, IA 50226 | AFLAC | $15 | — | $15 | 0.02% |
| MICHAEL A MAYER3 Filed as: MICHAEL MAYER | 4406 CAMPOLINA LN PASCO, WA 99301 | AFLAC | $12 | — | $12 | 0.02% |
| RICHARD A LOOS3 | 1501 E F ST MC COOK, NE 69001 | AFLAC | $11 | — | $11 | 0.02% |
| MICHAEL COPPESS3 | 108 N 49TH ST SUITE 207 OMAHA, NE 68132 | AFLAC | $9 | — | $9 | 0.01% |
| JAMES D STEPHENS3 Filed as: JAMES STEPHENS | 26710 MANDRAKE FALLS CT KATY, TX 77494 | AFLAC | $8 | — | $8 | 0.01% |
| JOSEPH LEDOUX3 | 2411 CARTER AVE NASHVILLE, TN 37206 | AFLAC | $8 | — | $8 | 0.01% |
| JEFFREY HIMMELRICK3 | 2215 W A STREET NORTH PLATTE, NE 69101 | AFLAC | $7 | — | $7 | 0.01% |
| LISA M HALL3 | 2542 E SUNDOWN DR COEUR D ALENE, ID 83815 | AFLAC | $6 | — | $6 | 0.01% |
| KIMBERLY DIAN CROCKETT3 | 505 LEE ROAD 214 PHENIX CITY, AL 36870 | AFLAC | $4 | — | $4 | 0.01% |
| JANICE ROBINSON3 | 22010 BRIDGESTONE HAWK CT SPRING, TX 77388 | AFLAC | $3 | — | $3 | 0.00% |
| KENNETH R THOMASON3 Filed as: KENNETH THOMASON | 4610 N 134TH AVE OMAHA, NE 68164 | AFLAC | $3 | — | $3 | 0.00% |
| JULIE CEJKA3 | 28301 POST ROCK CIR FIRTH, NE 68358 | AFLAC | $2 | — | $2 | 0.00% |
| DANIEL J MCMECHAN3 Filed as: DANIEL MCMECHAN | 2244 COUNTRY CLUB RD GRENADA, MS 38901 | AFLAC | $1 | — | $1 | 0.00% |
| FRANCES OSTERMEIER3 | 215 COLETON DR COPPERAS COVE, TX 76522 | AFLAC | $1 | — | $1 | 0.00% |
| CRAIG MICHELSEN3 | 426 TOPAZ DR SANTAQUIN, UT 84655 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES A PORTER3 | 223 STILLWATER CREEK DR BOZEMAN, MT 59718 | AFLAC | $1 | — | $1 | 0.00% |
| MICHAEL L PACKARD3 | 298 CONWICK DR JACKSONVILLE, FL 32218 | AFLAC | $1 | — | $1 | 0.00% |
| RAMI C PACKARD3 | 298 CONWICK DR JACKSONVILLE, FL 32218 | AFLAC | $1 | — | $1 | 0.00% |
| LONG TERM CARE FINANCIAL PARTNERS3 | 5110 CLARILLON POINT KIRKLAND, WA 98033 | MUTUAL OF OMAHA | $6K | — | $6K | 9.51% |
| AMERICAN INDEPENDENT MARKETING3 | P.O. BOX 9366 YAKIMA, WA 98909 | MUTUAL OF OMAHA | $2K | — | $2K | 3.00% |
| SENIOR COMMISSION FUNDING LLC3 | 6201 PRESIDENTIAL COURT FORT MYERS, FL 33919 | LIFESECURE INSURANCE COMPANY | $2K | — | $2K | 12.12% |
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 | 301 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 301 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | PROVIDENT LIFE AND ACCIDENT | 60 | $219K |
| Dental | COMPANION LIFE | 307 | $618K |
| Vision | AFLAC | 2 | $69K |
| Life insurance | COMPANION LIFE | 307 | $618K |
| Short-term disability | AFLAC | 2 | $69K |
| Other(3 contracts, 3 carriers) | COMPANION LIFE | 307 | $707K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 307 | — |
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.