| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KELLY & ASSOCIATES INSURANCE GROUP5 Filed as: KELLY & ASSOCIATES INS GROUP INC | 1 KELLY WAY SPARKS, MD 21152 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $14K | $14K | 5.00% |
| HODGE HART & SCHLEIFER INC3 | 7979 OLD GEORGETOWN ROAD SUITE 700 BETHESDA, MD 20814 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | — | $10K | 3.61% |
| THE ULTIMATE SOFTWARE GROUP5 | 2000 ULTIMATE WAY WESTON, FL 33326 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 0.91% |
| KELLY & ASSOCIATES INSURANCE GROUP5 Filed as: KELLY AND ASSOCIATES INS GROUP INC | 1 KELLY WAY SPARKS, MD 21152 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $10K | $10K | 5.00% |
| HODGE HART & SCHLEIFER INC3 | 7979 OLD GEORGETOWN ROAD SUITE 700 BETHESDA, MD 20814 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 3.05% |
| KELLY & ASSOCIATES INSURANCE GROUP5 Filed as: KELLY AND ASSOCIATES INS GROUP INC | 1 KELLY WAY SPARKS, MD 21152 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $10K | $10K | 5.00% |
| HODGE HART & SCHLEIFER INC3 | 7979 OLD GEORGETOWN ROAD SUITE 700 BETHESDA, MD 20814 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 3.20% |
| HODGE HART & SCHLEIFER INC3 | 7979 OLD GEORGETOWN ROAD SUITE 700 BETHESDA, MD 20814 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 14.15% |
| KELLY & ASSOCIATES INSURANCE GROUP5 | 1 KELLY WAY SPARKS, MD 21152 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| HODGE HART & SCHLEIFER INC3 | 8401 CONNECTICUT AVENUE SUITE 600 CHEVY CHASE, MD 20815 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 10.02% |
| KELLY & ASSOCIATES INSURANCE GROUP5 | 1 KELLY WAY SPARKS, MD 21152 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 5.01% |
| HODGE HART & SCHLEIFER INC3 | 7979 OLD GEORGETOWN ROAD SUITE 700 BETHESDA, MD 20814 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $355 | — | $355 | 10.00% |
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 | 693 | 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) | 693 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 673 | $275K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 681 | $200K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 673 | $198K |
| Other(3 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 673 | $336K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 681 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.