| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| H AND H INSURANCE SERVICES INC3 | 3160 CAMPUS DRIVE SUITE 100 NORCROSS, GA 30071 | STANDARD INSURANCE COMPANY | $18K | $5K | $23K | 18.53% |
| H AND H INSURANCE SERVICES INC3 | 3160 CAMPUS DRIVE SUITE 100 NORCROSS, GA 30071 | STANDARD INSURANCE COMPANY | $15K | $3K | $18K | 17.91% |
| H AND H INSURANCE SERVICES INC3 | 3160 CAMPUS DRIVE SUITE 100 NORCROSS, GA 30071 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 15.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 5.00% |
| EA LEGACY LLC5 | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 3.85% |
| H AND H INSURANCE SERVICES INC3 | 3160 CAMPUS DRIVE SUITE 100 NORCROSS, GA 30071 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 15.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 5.00% |
| EA LEGACY LLC5 | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 4.53% |
| H AND H INSURANCE SERVICES INC3 | 3160 CAMPUS DRIVE SUITE 100 NORCROSS, GA 30071 | STANDARD INSURANCE COMPANY | $5K | $3K | $8K | 23.39% |
| H AND H INSURANCE SERVICES INC3 Filed as: H&H INSURANCE SERVICES INC | 3160 CAMPUS DRIVE SUITE 100 NORCROSS, GA 30071 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| EA LEGACY LLC5 | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 7.97% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 5.00% |
| H AND H INSURANCE SERVICES INC3 | 3160 CAMPUS DRIVE SUITE 100 NORCROSS, GA 30071 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| EA LEGACY LLC5 | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $2K | $2K | 9.25% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $863 | $863 | 5.00% |
| H AND H INSURANCE SERVICES INC3 | 3160 CAMPUS DRIVE SUITE 100 NORCROSS, GA 30071 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 20.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $787 | $787 | 5.00% |
| H AND H INSURANCE SERVICES INC3 | 3160 CAMPUS DRIVE SUITE 100 NORCROSS, GA 30071 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 20.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $559 | $559 | 5.00% |
| H AND H INSURANCE SERVICES INC3 | 3160 CAMPUS DRIVE SUITE 100 NORCROSS, GA 30071 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 20.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $538 | $538 | 5.00% |
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 | 1,063 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,063 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 1,063 | $184K |
| Short-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 231 | $135K |
| Long-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 154 | $50K |
| Other(5 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,063 | $99K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,063 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.