Filings through .
History & trajectory Charts need 2 or more years. This plan has 6 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe primary carrier changed from the prior filing. The plan has shown it will move. Pitch it again on the next cycle.
The primary broker changed. The plan may listen to a new pitch.
Broker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Sure Life Financial Group LLC LifeSTDLTD | LifeSTDLTD | |
Broker: Sure Life Financial Group, LLC DentalVision | DentalVision |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 5 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 382 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 382 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 8 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 772 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 186 | $103K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 171 | $14K |
| Life insurance | STANDARD INSURANCE COMPANY | 271 | $63K |
| Short-term disability | STANDARD INSURANCE COMPANY | 269 | $58K |
| Long-term disability | STANDARD INSURANCE COMPANY | 149 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 271 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: United of Omaha Life Insurance Company | |
Carrier: Standard Insurance Company | |
Carrier: Standard Insurance Company | |
Carrier: Standard Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BERKLEY LIFE & HEALTH INSURANCE EIN 91-6034263 INSURANCE SERVICES | Insurance services Service code 23 | — | $670K |
| TRINITY CAPTIVE GROUP LLC EIN 86-2864118 INSURANCE SERVICES | Insurance services Service code 23 | — | $108K |
| SUPERIOR INSURANCE PARTNERS LLC EIN 85-1889503 INS AGENTS AND BROKERS | Insurance agents and brokers Service code 22 | — | $86K |
| ASSURED BENEFIT ADMINISTRATORS EIN 74-2403409 CLAIMS PROCESSING | Claims processing Service code 12 | — | $66K |
| UNITED HEALTHCARE SERVICES INC EIN 41-1289245 INSURANCE SERVICES | Insurance services Service code 23 | — | $44K |
| UNIVERSAL ASSURANCE LLC EIN 87-4667762 ACCOUNTING | Accounting (including auditing) Service code 10 | — | $32K |
| JCT BAKER CORPORATION EIN 83-0558990 OTHER COMMISSIONS | Other commissions Service code 55 | — | $22K |
| MEDEFY HEALTH EIN 46-1822466 ACCOUNTING | Accounting (including auditing) Service code 10 | — | $6K |
| 247 CALL A DOC LLC EIN 82-4884646 OTHER SERVICES | Other services Service code 49 | — | $5K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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6 filings · 2020 to 2025