| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 2150 S CENTRAL EXPY STE 280 MCKINNEY, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $804 | $5K | 6.80% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & | INSURANCE 5057 KELLER SPRINGS RD, STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 2.11% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 2150 S CENTRAL EXPY STE 280 MCKINNEY, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $1K | $6K | 16.92% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & | INSURANCE 5057 KELLER SPRINGS RD, STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 10.97% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 2150 S CENTRAL EXPY STE 280 MCKINNEY, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $781 | $5K | 16.21% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & | INSURANCE 5057 KELLER SPRINGS RD, STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 10.94% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 2150 S CENTRAL EXPY STE 280 MCKINNEY, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $514 | $3K | 13.05% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & | INSURANCE 5057 KELLER SPRINGS RD, STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 8.41% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 2150 S CENTRAL EXPY, STE 280 MCKINNEY, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $374 | $2K | 12.98% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & | INSURANCE 5057 KELLER SPRINGS RD, STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 8.48% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA GDP ADVISORS | 2150 S CENTRAL EXPY STE 280 MCKINNEY, TX 75070 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $827 | $223 | $1K | 10.11% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & | INSURANCE 5057 KELLER SPRINGS RD, STE 200 ADDISON, TX 75001 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $627 | — | $627 | 6.04% |
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 | 130 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 130 | $79K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 129 | $10K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $56K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $15K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $32K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.