| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 10050 REGENCY CIRCLE SUITE 300 OMAHA, NE 681143722 | HM LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF NEBRASKA EIN 47-0095156 NONE | Claims processing; Other services Service code 12 | 1919 ASKARBEN DR OMAHA, NE 68180 | $1.0M |
| 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 | $705K |
| WELLNESS PARTNERS, LLC EIN 20-5668686 NONE | Other services Service code 49 | 106 WEST 3RD ST P.O. BOX 488 MCCOOK, NE 69001 | $34K |
| CLINE WILLIAMS WRIGHT JOHNSON EIN 47-0382823 NONE | Legal Service code 29 | 233 SOUTH 13TH STREET, SUITE 1900 LINCOLN, NE 68508 | $31K |
| FORVIS, LLP EIN 44-0160260 NONE | Accounting (including auditing) Service code 10 | 1248 O ST STE 1040 LINCOLN, NE 68508 | $16K |
| SBS CYBERSECURITY, LLC EIN 20-1679134 NONE | Other services Service code 49 | 700 S WASHINGTON AVE SUITE 200 MADISON, SD 57042 | $10K |
| 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 | $10K |
| FIDUCIENT ADVISORS LLC EIN 36-4001764 NONE | Consulting (general) Service code 16 | 500 W. MADISON STREET, SUITE 1700 CHICAGO, IL 60661 | $6K |
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 | 2,056 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,056 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 1,903 | $924K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,903 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.