| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 901 MARQUETTE AVE STE 1800 MINNEAPOLIS, MN 55402 | KAISER FOUNDATION HEALTH PLAN INC | $728 | $0 | $728 | 0.38% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 5850 GRANITE PKWY STE 350 PLANO, TX 75024 | AMERITAS LIFE INSURANCE CORP | $2K | $0 | $2K | 1.80% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INSURANCE AGENCY | 5850 GRANITE PKWY STE 350 PLANO, TX 75024 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $398 | $8K | 15.78% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE AGENCY | 11220 ASSETT LOOP SUITE 304 MANASSAS, VA 20109 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $443 | $443 | 0.87% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INSURANCE AGENCY | 5850 GRANITE PKWY STE 350 PLANO, TX 75024 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $2K | $8K | 19.92% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INSURANCE AGENCY | 5850 GRANITE PKWY STE 350 PLANO, TX 75024 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $251 | $4K | 15.89% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE AGENCY | 11220 ASSETT LOOP SUITE 304 MANASSAS, VA 20109 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $279 | $279 | 0.99% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INSURANCE AGENCY | 5850 GRANITE PKWY STE 350 PLANO, TX 75024 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $5K | 21.42% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 5850 GRANITE PKWY STE 350 PLANO, TX 75024 | AMERITAS LIFE INSURANCE CORPORATION | $1K | $0 | $1K | 10.00% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INSURANCE AGENCY | 5850 GRANITE PKWY STE 350 PLANO, TX 75024 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $526 | $3K | 18.85% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INSURANCE AGENCY | 5850 GRANITE PKWY STE 350 PLANO, TX 75024 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $574 | $2K | 22.22% |
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 | 260 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 263 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TEXAS | 221 | $1.8M |
| Dental | AMERITAS LIFE INSURANCE CORP | 435 | $135K |
| Vision | AMERITAS LIFE INSURANCE CORPORATION | 415 | $14K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 258 | $61K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $51K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 55 | $28K |
| Other(5 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 258 | $111K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 435 | — |
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.