| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SPRINGS RD, STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $687 | $3K | 6.43% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SPRINGS RD STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 32.00% |
| ACRISURE LLC5 Filed as: ACRISURE TEXAS RISK ADVISORS & | INSURANCE 5057 KELLER SPRINGS RD, STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $640 | $640 | 3.31% |
| ACRISURE LLC5 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SPRINGS RD STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $528 | $528 | 2.73% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & | INSURANCE 5057 KELLER SPRINGS, RD, STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $354 | $2K | 13.01% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SPRINGS RD STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $302 | $2K | 17.92% |
| ACRISURE LLC5 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SPRINGS RD STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $240 | $240 | 2.32% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & | INSURANCE 5057 KELLER SPRINGS RD, STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SPRINGS RD STE 200 ADDISON, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $228 | $1K | 17.98% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SPRINGS RD STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $240 | $240 | 3.14% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SPRINGS RD STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $246 | $1K | 18.66% |
| ACRISURE LLC5 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SRPINGS RD STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $528 | $528 | 7.85% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SPRINGS RD STE 200 ADDISON, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $771 | — | $771 | 15.01% |
| ACRISURE LLC5 Filed as: ACRISURE TEXAS RISK ADVISORS & | INSURANCE 5057 KELLER SPRINGS RD, STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $528 | $528 | 10.28% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 5057 KELLER SPRINGS RD STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $267 | $267 | 5.20% |
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 | 111 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 111 | $48K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 102 | $12K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 59 | $19K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 38 | $14K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 30 | $15K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 59 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 111 | — |
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.