| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| OLSON BENEFIT GROUP, LLC3 Filed as: OLSON BENEFIT GROUP LLC | 3509 PINETREE TERRACE FALLS CHURCH, VA 22041 | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | — | $63K | $63K | 3.51% |
| MATHER & STROHL ADMINISTRATIVE SVCS5 | 12404 PARK CENTRAL DRIVE SUITE 400 DALLAS, TX 75251 | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | $0 | $9K | $9K | 0.49% |
| OLSON BENEFIT GROUP, LLC3 | 1011 SCARBOROUGH AVENUE REHOBOTH BEACH, DE 19971 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $12 | $4K | 3.56% |
| OLSON BENEFIT GROUP, LLC3 | 1011 SCARBOROUGH AVENUE REHOBOTH BEACH, DE 19971 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 10.00% |
| OLSON BENEFIT GROUP, LLC3 | 1011 SCARBOROUGH AVENUE REHOBOTH BEACH, DE 19971 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.00% |
| OLSON BENEFIT GROUP, LLC3 | 1011 SCARBOROUGH AVENUE REHOBOTH BEACH, DE 19971 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.00% |
| OLSON BENEFIT GROUP, LLC3 | 1011 SCARBOROUGH AVENUE REHOBOTH BEACH, DE 19971 | VISION SERVICE PLAN | $1K | $0 | $1K | 6.24% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS LLC | 4565 PAYSPHERE CIR CHICAGO, IL 60674 | VISION SERVICE PLAN | $1 | $0 | $1 | 0.01% |
| OLSON BENEFIT GROUP, LLC3 | 1011 SCARBOROUGH AVENUE REHOBOTH BEACH, DE 19971 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| OLSON BENEFIT GROUP, LLC3 | 1011 SCARBOROUGH AVENUE REHOBOTH BEACH, DE 19971 | MUTUAL OF OMAHA INSURANCE COMPANY | $427 | $0 | $427 | 14.99% |
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 | 151 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 168 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | 210 | $1.8M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 315 | $125K |
| Vision | VISION SERVICE PLAN | 99 | $18K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 151 | $58K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 151 | $44K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 151 | $51K |
| Prescription drug | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | 210 | $1.8M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 151 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 315 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.