| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES ARTHUR VOLLMER3 | 401 N CARROLL AVE #207 SOUTHLAKE, TX 76092 | HEALTH CARE SERVICE CORPORATION | $49K | $1K | $50K | 2.83% |
| IMA, INC.3 | 14221 DALLAS PARKWAY 7TH FLOOR DALLAS, TX 75254 | HEALTH CARE SERVICE CORPORATION | $15K | — | $15K | 0.87% |
| JAMES ARTHUR VOLLMER3 | 401 N CARROLL AVE #207 SOUTHLAKE, TX 76092 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 6.56% |
| CANNON ALLEN3 | 2527 86TH ST LUBBOCK, TX 79423 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 5.00% |
| IMA, INC.3 | 14221 DALLAS PARKWAY 7TH FLOOR DALLAS, TX 75254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 3.44% |
| JAMES ARTHUR VOLLMER3 | 401 N CARROLL AVE #207 SOUTHLAKE, TX 76092 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 9.97% |
| IMA, INC.3 | 14221 DALLAS PARKWAY 7TH FLOOR DALLAS, TX 75254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 5.03% |
| JAMES ARTHUR VOLLMER3 | 401 N CARROLL AVE #207 SOUTHLAKE, TX 76092 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 6.37% |
| CANNON ALLEN3 | 2527 86TH ST LUBBOCK, TX 79423 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| IMA, INC.3 | 14221 DALLAS PARKWAY 7TH FLOOR DALLAS, TX 75254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 3.63% |
| TOTAL BENEFIT SOLUTIONS5 | 2527 86TH ST LUBBOCK, TX 79423 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 3.43% |
| JAMES ARTHUR VOLLMER3 | 401 N CARROLL AVE #207 SOUTHLAKE, TX 76092 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 10.03% |
| IMA, INC.3 | 14221 DALLAS PARKWAY 7TH FLOOR DALLAS, TX 75254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 4.96% |
| JAMES ARTHUR VOLLMER3 | 401 N CARROLL AVE #207 SOUTHLAKE, TX 76092 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 6.44% |
| IMA, INC.3 | 14221 DALLAS PARKWAY 7TH FLOOR DALLAS, TX 75254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $831 | — | $831 | 3.56% |
| CANNON ALLEN3 | 2527 86TH ST LUBBOCK, TX 79423 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| JAMES ARTHUR VOLLMER3 | 401 N CARROLL AVE #207 SOUTHLAKE, TX 76092 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 6.70% |
| IMA, INC.3 | 14221 DALLAS PARKWAY 7TH FLOOR DALLAS, TX 75254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $518 | — | $518 | 3.30% |
| JAMES ARTHUR VOLLMER3 | 401 N CARROLL AVE #207 SOUTHLAKE, TX 76092 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 9.84% |
| IMA, INC.3 | 14221 DALLAS PARKWAY 7TH FLOOR DALLAS, TX 75254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $646 | — | $646 | 5.17% |
| JAMES ARTHUR VOLLMER3 | 401 N CARROLL AVE #207 SOUTHLAKE, TX 76092 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.04% |
| IMA, INC.3 | 14221 DALLAS PARKWAY 7TH FLOOR DALLAS, TX 75254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $557 | — | $557 | 4.97% |
| CANNON ALLEN3 | 2527 86TH ST LUBBOCK, TX 79423 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $337 | — | $337 | 3.01% |
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 | 167 | 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) | 167 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 247 | $1.8M |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 121 | $81K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 125 | $16K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 167 | $45K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 43 | $23K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 45 | $31K |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 167 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 247 | — |
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.
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.