| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY, STE 2000 CARROLLTON, TX 75007 | UNITED OF OMAHA LIFE INSURANCE CO. | $10K | $7K | $17K | 8.79% |
| OSGSWT LLC3 Filed as: OSGSWT, LLC DBA INCORE GROUP | 4415 71ST ST., STE 12 LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE CO. | $10K | $0 | $10K | 4.90% |
| PREPARE BENEFITS, LLC5 | 10524 MOSS PARK RD. #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $6K | $6K | 3.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR., STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $4K | $4K | 2.11% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY, STE 2000 CARROLLTON, TX 75007 | UNITED OF OMAHA LIFE INSURANCE CO. | $12K | $9K | $21K | 17.72% |
| OSGSWT LLC3 Filed as: OSGSWT, LLC DBA INCORE GROUP | 4415 71ST ST., STE 12 LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE CO. | $12K | $0 | $12K | 10.07% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR., STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $3K | $3K | 2.23% |
| PREPARE BENEFITS, LLC5 | 10524 MOSS PARK RD. #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $2K | $2K | 2.00% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY, STE 2000 CARROLLTON, TX 75007 | UNITED OF OMAHA LIFE INSURANCE CO. | $6K | $4K | $10K | 17.50% |
| OSGSWT LLC3 Filed as: OSGSWT, LLC DBA INCORE GROUP | 4415 71ST ST., STE 12 LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE CO. | $6K | $0 | $6K | 10.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR., STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $1K | $1K | 2.18% |
| PREPARE BENEFITS, LLC5 | 10524 MOSS PARK RD. #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $1K | $1K | 2.00% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY, STE 2000 CARROLLTON, TX 75007 | UNITED OF OMAHA LIFE INSURANCE CO. | $5K | $4K | $8K | 18.00% |
| OSGSWT LLC3 Filed as: OSGSWT, LLC DBA INCORE GROUP | 4415 71ST ST., STE 12 LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE CO. | $5K | $0 | $5K | 10.12% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR., STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $1K | $1K | 2.32% |
| PREPARE BENEFITS, LLC5 | 10524 MOSS PARK RD. #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $935 | $935 | 2.00% |
| PREPARE BENEFITS, LLC3 | 10524 MOSS PARK RD. #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE CO. | $5K | $0 | $5K | 15.00% |
| OSGSWT LLC3 Filed as: OSGSWT, LLC DBA INCORE GROUP | 4415 71ST ST., STE 12 LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE CO. | $3K | $0 | $3K | 10.00% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY, STE 2000 CARROLLTON, TX 75007 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $993 | $993 | 3.10% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR., STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $709 | $709 | 2.21% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY, STE 2000 CARROLLTON, TX 75007 | UNITED OF OMAHA LIFE INSURANCE CO. | $3K | $2K | $5K | 18.16% |
| OSGSWT LLC3 Filed as: OSGSWT, LLC DBA INCORE GROUP | 4415 71ST ST., STE 12 LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE CO. | $3K | $0 | $3K | 9.96% |
| PREPARE BENEFITS, LLC5 | 10524 MOSS PARK RD. #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $1K | $1K | 5.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR., STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $672 | $672 | 2.32% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY, STE 2000 CARROLLTON, TX 75007 | UNITED OF OMAHA LIFE INSURANCE CO. | $2K | $2K | $4K | 14.35% |
| PREPARE BENEFITS, LLC5 | 10524 MOSS PARK RD. #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $3K | $3K | 10.00% |
| OSGSWT LLC3 Filed as: OSGSWT, LLC DBA INCORE GROUP | 4415 71ST ST., STE 12 LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE CO. | $2K | $0 | $2K | 7.68% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR., STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $573 | $573 | 2.01% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY, STE 2000 CARROLLTON, TX 75007 | UNITED OF OMAHA LIFE INSURANCE CO. | $2K | $2K | $4K | 15.25% |
| PREPARE BENEFITS, LLC5 | 10524 MOSS PARK RD. #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $3K | $3K | 10.00% |
| OSGSWT LLC3 Filed as: OSGSWT, LLC DBA INCORE GROUP | 4415 71ST ST., STE 12 LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE CO. | $2K | $0 | $2K | 7.50% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR., STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $599 | $599 | 2.22% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY, STE 2000 CARROLLTON, TX 75007 | UNITED OF OMAHA LIFE INSURANCE CO. | $865 | $671 | $2K | 17.79% |
| OSGSWT LLC3 Filed as: OSGSWT, LLC DBA INCORE GROUP | 4415 71ST ST., STE 12 LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE CO. | $862 | $0 | $862 | 9.98% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DR., STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $192 | $192 | 2.22% |
| PREPARE BENEFITS, LLC5 | 10524 MOSS PARK RD. #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE CO. | $0 | $173 | $173 | 2.00% |
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 | 316 | 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) | 316 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITED OF OMAHA LIFE INSURANCE CO. | 336 | $197K |
| Vision | UNITED OF OMAHA LIFE INSURANCE CO. | 297 | $32K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE CO. | 435 | $130K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE CO. | 203 | $56K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE CO. | 190 | $47K |
| Other(5 contracts) | UNITED OF OMAHA LIFE INSURANCE CO. | 435 | $214K |
| 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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.