| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSGROUP INC3 Filed as: INSGROUP, LLC | — | BLUECROSS BLUESHIELD OF TEXAS | $44K | $0 | $44K | 4.52% |
| INSGROUP INC3 Filed as: INSGROUP, LLC DBA K&S INSURANCE | 2255 RIDGE ROAD SUITE 3343 ROCKWALL, TX 75087 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $0 | $6K | 10.96% |
| GIS BENEFITS INC3 | 422 WAUPONSEE ST MORRIS, IL 60450 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $891 | $4K | 7.06% |
| MARSHBERRY CONNECT PLATFORM LLC3 | PO BOX 72560 CLEVELAND, OH 44192 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $1K | $1K | 2.19% |
| INSGROUP INC3 Filed as: INSGROUP INC DBA K&S INSURANCE | 2255 RIDGE ROAD SUITE 333 ROCKWALL, TX 75087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 10.00% |
| GROUP INSURANCE SERVICES INC3 | 1607 N AURORA ROAD SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $3K | $3K | 5.00% |
| INSGROUP INC3 Filed as: INSGROUP INC DBA K&S INSURANCE | 2255 RIDGE ROAD SUITE 333 ROCKWALL, TX 75087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 15.00% |
| GROUP INSURANCE SERVICES INC3 | 1607 N AURORA ROAD SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $884 | $884 | 5.00% |
| INSGROUP INC3 Filed as: INSGROUP INC. DBA K&S INSURANCE | 2255 RIDGE ROAD SUITE 333 ROCKWALL, TX 75087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES INC. | 1607 N AURORA ROAD SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $710 | $710 | 5.00% |
| INSGROUP INC3 Filed as: INSGROUP INC DBA K&S INSURANCE | 2255 RIDGE ROAD SUITE 333 ROCKWALL, TX 75087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| GROUP INSURANCE SERVICES INC3 | 1607 N AURORA RD SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $626 | $626 | 5.00% |
| WHITE HILL PLAZA INC3 | 2255 RIDGE RD STE 333 ROCKWALL, TX 75087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 13.74% |
| INSGROUP INC3 Filed as: INSGROUP INC DBA K&S INSURANCE | 2255 RIDGE ROAD SUITE 333 ROCKWALL, TX 75087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $142 | $0 | $142 | 1.26% |
| INSGROUP INC3 Filed as: INSGROUP DBA K&S INSURANCE | 2255 RIDGE ROAD SUITE 333 ROCKWALL, TX 75087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $683 | $0 | $683 | 10.00% |
| GROUP INSURANCE SERVICES INC3 | 1607 N AURORA RD SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $342 | $342 | 5.01% |
| INSGROUP INC3 Filed as: INSGROUP INC DBA K&S INSURANCE | 2255 RIDGE ROAD SUITE 333 ROCKWALL, TX 75087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 20.00% |
| GROUP INSURANCE SERVICES INC3 | 1607 N AURORA ROAD SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $312 | $312 | 5.01% |
| INSGROUP INC3 Filed as: INSGROUP INC DBA K&S INSURANCE | 2255 RIDGE ROAD SUITE 333 ROCKWALL, TX 75087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 20.00% |
| GROUP INSURANCE SERVICES INC3 | 1607 N AURORA ROAD SUITE 21 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $252 | $252 | 5.00% |
| INSGROUP INC3 Filed as: INSGROUP INC DBA K&S INSURANCE | 2255 RIDGE ROAD SUITE 333 ROCKWALL, TX 75087 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $868 | $0 | $868 | 20.01% |
| GROUP INSURANCE SERVICES INC3 | 1607 N AURORA ROAD SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $217 | $217 | 5.00% |
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 | 103 | 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) | 103 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 202 | $978K |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 223 | $110K |
| Vision(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 223 | $63K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 164 | $24K |
| Short-term disability(3 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 24 | $16K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 34 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 223 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.