Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
Multiple-employer welfare arrangement. It has its own regulatory and compliance rules.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 6 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 | 4,518 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,518 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP | 16,073 | $4.6M |
| Vision | AMERITAS LIFE INSURANCE CORP | 16,073 | $4.6M |
| Life insurance | STANDARD INSURANCE COMPANY | 16,099 | $1.4M |
| Short-term disability | STANDARD INSURANCE COMPANY | 1,162 | $230K |
| Long-term disability | STANDARD INSURANCE COMPANY | 3,832 | $461K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 4,523 | $2.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16,099 | - |
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: Ameritas Life Insurance Corp | |
Carrier: HM Life Insurance Company | |
Carrier: HM Life 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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF NEBRASKA EIN 47-0095156 NONE | Contract Administrator; Other services Service code 13 | 1919 ASKARBEN DR OMAHA, NE 68180 | $2.3M |
| NEBR. BANKERS INSURANCE & SVCS CO EIN 47-0639387 NE BANKERS ASSN. SUBSID. | Contract Administrator Service code 13 | 233 SOUTH 13TH, SUITE 700 LINCOLN, NE 68508 | $1.9M |
| WELLNESS PARTNERS, LLC EIN 20-5668686 NONE | Other services Service code 49 | 106 WEST 3RD ST P.O. BOX 488 MCCOOK, NE 69001 | $522K |
| PARTNERS HEALTH ALLIANCE LLC EIN 47-2739228 NONE | Contract Administrator Service code 13 | — | $361K |
| CLINE WILLIAMS WRIGHT JOHNSON EIN 47-0382823 NONE | Legal Service code 29 | 233 SOUTH 13TH STREET, SUITE 1900 LINCOLN, NE 68508 | $123K |
| GALLAGHER BENEFIT SERVICES, INC. EIN 36-4291971 NONE | Contract Administrator Service code 13 | PO BOX 95287 CHICAGO, IL 606945287 | $120K |
| CONTINUUM EAP EIN 47-0646445 NONE | Other services Service code 49 | 3401 VILLAGE DR #210 LINCOLN, NE 68516 | $119K |
| MILLIMAN AGENCY INC NONE | Actuarial Service code 11 | 18205 CAPITOL AVE STE 320 OMAHA, NE 680224415 | $80K |
| CANCER NAVIGATORS EIN 03-0397867 NONE | Other services Service code 49 | 255 W 5TH ST SW ROME, GA 30165 | $50K |
| FIDUCIENT ADVISORS LLC EIN 36-4001764 NONE | Consulting (general) Service code 16 | 500 W. MADISON STREET, SUITE 1700 CHICAGO, IL 60661 | $38K |
| FORVIS MAZARS, LLP EIN 44-0160260 NONE | Accounting (including auditing) Service code 10 | 1248 O ST STE 1040 LINCOLN, NE 68508 | $36K |
| NAVIA BENEFIT SOLUTIONS NONE | Contract Administrator Service code 13 | 707 S GRADY WAY SUITE 350 RENTON, WA 98057 | $28K |
| SBS CYBERSECURITY, LLC EIN 20-1679134 NONE | Other services Service code 49 | 700 S WASHINGTON AVE SUITE 200 MADISON, SD 57042 | $25K |
| AGILX, LLC EIN 27-5282149 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 800 P ST. #300 LINCOLN, NE 68508 | $18K |
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.
2 contacts
11 filings · 2015 to 2025