| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL GREAT PLAINS, LLC | 11516 MIRACLE HILLS DRIVE SUITE 100 OMAHA, NE 68154 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $84K | $0 | $84K | 5.00% |
| UNKNOWN3 | UNKNOWN LINCOLN, NE 65810 | ZURICH AMERICAN INSURANCE COMPANY | $5K | $0 | $5K | 3.00% |
| HAROLD W WELLS & SONS INC3 Filed as: HAROLD W. WELLS AND SON, INC | 1 NORTH 3RD STREET WILMINGTON, NC 28401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 8.69% |
| KUTZKE INSURANCE INC & OTHER AGENTS3 | 3355 FLETCHER ROAD SEWARD, NE 68434 | CONTINENTAL AMERICAN INSURANCE COMPANY | $75 | $0 | $75 | 0.21% |
| JILL R LAMBERT3 Filed as: JILL W. DENTON | 2 GLENMORE DRIVE DURHAM, NC 27707 | CONTINENTAL AMERICAN INSURANCE COMPANY | $70 | $0 | $70 | 0.19% |
| RUSSELL GOLDNER3 Filed as: RUSSELL D. GOLDNER | 10272 STABLEHAND DRIVE CINCINNATI, OH 45242 | CONTINENTAL AMERICAN INSURANCE COMPANY | $41 | $0 | $41 | 0.11% |
| KACHATURIAN ENTERPRISES INC3 Filed as: KACHATURIAN ENTERPRISES, INC | 530 SOUTH 161ST CIRCLE OMAHA, NE 68118 | CONTINENTAL AMERICAN INSURANCE COMPANY | $25 | $0 | $25 | 0.07% |
| ROBERT LUTHER3 Filed as: ROBERT F. LUTHER | 10284 FALLING WATERS LANE EVENDALE, OH 45241 | CONTINENTAL AMERICAN INSURANCE COMPANY | $17 | $0 | $17 | 0.05% |
| CATHERINE L LEE3 Filed as: CATHERINE LOUISE LEE | 10 NUN STREET WILMINGTON, NC 28401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | $0 | $16 | 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 | 2,370 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 34 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,404 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | AMERITAS LIFE INSURANCE CORPORATION | 4,078 | $490K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,370 | $1.7M |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,370 | $1.7M |
| Other(4 contracts, 4 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 2,370 | $2.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,078 | — |
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.