| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NP DODGE INSURANCE AGENCY INC3 | 12002 PACIFIC ST OMAHA, NE 681543429 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| TODD H BURRER3 | 17445 ARBOR ST SUITE 300 OMAHA, NE 68130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $817 | — | $817 | 2.38% |
| NP DODGE INSURANCE AGENCY INC3 Filed as: NP DODGE INSURANCE AGENCY, INC | 12002 PACIFIC ST OMAHA, NE 68154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $722 | — | $722 | 2.10% |
| STEPHANIE A BROCK3 | 6814 MARCY ST OMAHA, NE 68106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $627 | — | $627 | 1.82% |
| MARK ANSON3 | 17830 BAYWOOD DR OMAHA, NE 68130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $534 | — | $534 | 1.55% |
| DAVID J MCCLELLAN3 Filed as: DAVID J BECK | 16636 FREDERIC K CIRCLE OMAHA, NE 68130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $346 | — | $346 | 1.01% |
| MITCHELL J FRIEHE3 | 4611 S 96 ST STE 107 OMAHA, NE 68127 | CONTINENTAL AMERICAN INSURANCE COMPANY | $336 | — | $336 | 0.98% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 10050 REGENCY CIRCLE STE 300 OMAHA, NE 68114 | CONTINENTAL AMERICAN INSURANCE COMPANY | $301 | — | $301 | 0.88% |
| MARK FRIEHE3 | 4611 S 96TH ST STE 101 OMAHA, NE 68127 | CONTINENTAL AMERICAN INSURANCE COMPANY | $210 | — | $210 | 0.61% |
| VESTA VOLUNTARY SPECIALISTS INC3 | 4910 DODGE ST STE 107 OMAHA, NE 68132 | CONTINENTAL AMERICAN INSURANCE COMPANY | $144 | — | $144 | 0.42% |
| CYNTHIA D WELKEN-PLACE3 | 14710 WEST DODGE ROAD STE 200 OMAHA, NE 68154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $51 | — | $51 | 0.15% |
| KENNETH R THOMASON3 Filed as: KENNETH R THOMPSON | 14710 WEST DODGE ROAD SUITE 200 OMAHA, NE 68154 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | — | $32 | 0.09% |
| MICHAEL S CEJKA3 | 613 CEDAR STREET HICKMAN, NE 68372 | CONTINENTAL AMERICAN INSURANCE COMPANY | $29 | — | $29 | 0.08% |
| KIMBERLY DIAN CROCKETT3 Filed as: KIMBERLY D CROCKETT | 732 SILVER SANDS DR CORDOVA, TN 38018 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.05% |
| NP DODGE INSURANCE AGENCY INC3 Filed as: NP DODGE INSURANCE AGENCY | 12002 PACIFIC ST OMAHA, NE 681543507 | VISION SERVICE PLAN | $1K | — | $1K | 4.72% |
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 | 427 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 437 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE CO. | 577 | $205K |
| Vision | VISION SERVICE PLAN | 460 | $29K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 321 | $66K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 322 | $70K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 323 | $83K |
| Other(3 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 321 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 577 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.