| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FEE INSURANCE GROUP3 Filed as: FEE INSURANCE GROUP INC. | 2920 N. PLUM ST. HUTCHINSON, KS 67502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $118 | $1K | 8.35% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $366 | — | $366 | 2.43% |
| FEE INSURANCE GROUP3 Filed as: FEE INSURANCE GROUP INC. | 2920 N. PLUM ST. HUTCHINSON, KS 67502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $118 | $2K | 12.44% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $433 | — | $433 | 3.51% |
| FEE INSURANCE GROUP3 Filed as: FEE INSURANCE GROUP INC. | 2920 N PLUM ST HUTCHINSON, KS 67502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $105 | $105 | 0.95% |
| FEE INSURANCE GROUP3 Filed as: FEE INSURANCE GROUP, INC. | 2920 N. PLUM ST. HUTCHINSON, KS 67502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $402 | $48 | $450 | 8.26% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $143 | — | $143 | 2.63% |
| FEE INSURANCE GROUP3 Filed as: FEE INSURANCE GROUP, INC. | P.O. BOX 976 HUTCHINSON, KS 67504 | EYEMED VISION CARE | $770 | — | $770 | 16.07% |
| FEE INSURANCE GROUP3 Filed as: FEE INSURANCE GROUP, INC. | 2920 N. PLUM ST. HUTCHINSON, KS 67502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $309 | $46 | $355 | 8.63% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $102 | — | $102 | 2.48% |
| FEE INSURANCE GROUP3 Filed as: FEE INSURANCE GROUP INC. | 2920 N. PLUM ST. HUTCHINSON, KS 67502 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $305 | $25 | $330 | 12.17% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $101 | — | $101 | 3.73% |
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 | 101 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 101 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF KANSAS, INC. | 83 | $72K |
| Vision | EYEMED VISION CARE | 143 | $5K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 101 | $18K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 101 | $11K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 101 | $12K |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 101 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 143 | — |
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."
No prospect flags tripped on this filing.