| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BLEUCHIP SOLUTIONS LLC3 | 100 N BROADWAY AVE STE 1880 OKLAHOMA CITY, OK 73102 | STARMOUNT LIFE INSURANCE COMPANY | $12K | — | $12K | 9.20% |
| EMERSON REID LLC3 | STE 320 1787 SENTRY PKWY W VEVA 16 BLUE BELL, PA 19422 | STARMOUNT LIFE INSURANCE COMPANY | $7K | $5K | $12K | 9.11% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SERVI | STE 750 4635 SOUTHWEST FREEWAY HOUSTON, TX 77027 | STARMOUNT LIFE INSURANCE COMPANY | $2K | — | $2K | 1.67% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SVCS LLC | DBA ADVANTAGE BENEFIT SOLUTIONS 1800 WEST LOOP S STE 2115 HOUSTON, TX 77027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $14K | — | $14K | 19.00% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH NSURANCE SVCS LLC | DBA ADVANTAGE BENEFIT SOLUTIONS 4635 SOUTHWEST FWY STE 50 HOUSTON, TX 77027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 5.46% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $4K | $4K | 5.00% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SVCS LLC | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $410 | $410 | 0.56% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH NSURANCE SVCS LLC | DBA ADVANTAGE BENEFIT SOLUTIONS 1800 WEST LOOP S STE 2115 HOUSTON, TX 77027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 15.00% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SVCS LLC | DBA ADVANTAGE BENEFIT SOLUTIONS 4635 SOUTHWEST FWY STE 750 HOUSTON, TX 77027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.50% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SVCS LLC | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $252 | $252 | 0.56% |
| PATRIOT GROWTH INSURANCE SERVICES3 | LLC 501 OFFICE CENTER DR. SUITE 215 FORT WASHINGTON, PA 19034 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12K | — | $12K | 29.92% |
| CHRISTOPHER TOD KELLY3 | 1109 ARLINGTON ST HOUSTON, TX 770087049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12K | — | $12K | 28.74% |
| ANA JOSEFINA KELLY3 | 1109 ARLINGTON ST HOUSTON, TX 770087049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 5.65% |
| JEFFREY M SATTERLEE3 Filed as: JEFFREY MICHAEL SATTERLEE | 4351 JAGER DR NE STE J RIO RANCHO, NM 871447527 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.45% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SVCS LLC | DBA ADVANTAGE BENEFIT SOLUTIONS 4635 SOUTHWEST FWY STE 750 HOUSTON, TX 77027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.26% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH NSURANCE SVCS LLC | DBA ADVANTAGE BENEFIT SOLUTIONS 1800 WEST LOOP S STE 2115 HOUSTON, TX 77027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SVCS LLC | DBA ADVANTAGE BENEFIT SOLUTIONS 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $196 | $196 | 0.54% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SVCS LLC | DBA ADVANTAGE BENEFIT SOLUTIONS 1800 WEST LOOP STE 2115 HOUSTON, TX 77027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 15.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PKWY W STE 320 BLUE BELL, PA 19422 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $490 | $490 | 5.00% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH INSURANCE SVCS LLC | DBA ADVANTAGE BENEFIT SOLUTIONS 4635 SOUTHWEST FWY STE 750 HOUSTON, TX 77027 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $485 | $485 | 4.95% |
| PATRIOT GROWTH INSURANCE SERVICES3 Filed as: PATRIOT GROWTH NSURANCE SVCS LLC | 501 OFFICE CENTER DR STE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $50 | $50 | 0.51% |
| PATRICIA A. BOLLI4 Filed as: PATRICIA A BOLLI | PO BOX 603 BURWELL, NE 68823 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $699 | — | $699 | 10.76% |
| PATRIOT GROWTH INSURANCE SERVICES4 Filed as: PATRIOT GROWTH INSURANCE SER | STE 215 501 OFFICE CENTER DR FORT WASHINGTON, PA 19034 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $365 | — | $365 | 5.62% |
| MARK E SULLIVAN4 | 9211 FOREST CREEK DR TOMBALL, TX 77375 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $61 | — | $61 | 0.94% |
| W. WILLIAM WORNARDT III4 Filed as: W WILLIAM WORNARDT III | 7707 TIBURON TRL SUGAR LAND, TX 77479 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $26 | — | $26 | 0.40% |
| ROGERS BENEFIT GROUP INC4 Filed as: MELINDA ROGERS | PO BOX 853 GEORGETOWN, CO 80444 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $23 | — | $23 | 0.35% |
| RICHARD NEWMAN II4 | 82268 AUSTIN ST FOLSOM, LA 70437 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $21 | — | $21 | 0.32% |
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 | 176 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 209 | $133K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 209 | $133K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 322 | $83K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 148 | $36K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 130 | $45K |
| Other(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 322 | $131K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 322 | — |
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."
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.