| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | 430 E DOUGLAS ST, SUITE 400 WICHITA, KS 67202 | HEALTH CARE SERVICE CORPORATION | $62K | $20 | $62K | 2.64% |
| WILBARGER GENERAL HOSPITAL0 | 920 HILLCREST DR VERNON, TX 76384 | HEALTH CARE SERVICE CORPORATION | $2 | — | $2 | 0.00% |
| IMA, INC.3 | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $2K | $11K | 11.81% |
| CANNON ALLEN3 | 2527 86TH ST LUBBOCK, TX 79423 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 5.00% |
| IMA, INC.3 | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $1K | $4K | 13.86% |
| CANNON ALLEN3 | 2527 86TH ST LUBBOCK, TX 79423 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| TOTAL BENEFIT SOLUTIONS5 | 2527 86TH ST LUBBOCK, TX 79423 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 3.31% |
| IMA, INC.3 | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $2K | $7K | 21.17% |
| IMA, INC.3 | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $2K | $6K | 21.11% |
| IMA, INC.3 | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $1K | $4K | 15.92% |
| IMA, INC.3 | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $469 | $2K | 13.04% |
| CANNON ALLEN3 | 2527 86TH ST LUBBOCK, TX 79423 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| IMA, INC.3 | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $747 | $3K | 20.56% |
| IMA, INC.3 | 6200 LBJ FWY STE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $558 | $2K | 22.01% |
| CANNON ALLEN3 | 2527 86TH ST LUBBOCK, TX 79423 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $239 | — | $239 | 3.00% |
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 | 173 | 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) | 173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 210 | $2.4M |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 118 | $90K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 122 | $15K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 173 | $45K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 41 | $24K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 38 | $32K |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 173 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 210 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.