| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PATRIOT GROWTH INSURANCE SERVICES3 | DBA MANIACINI INSURANCE 500 SILVER SPUR ROAD, SUITE 121 ROLLING HILLS EST, CA 90275 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $98K | $12K | $110K | 11.94% |
| PATRIOT GROWTH INSURANCE SERVICES3 | DBA INTREPID COMPANY 1900 NORTH GRANT STREET, SUITE 650 DENVER, CO 80203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $40K | $6K | $46K | 4.95% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DRIVE SUITE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $31K | $31K | 3.40% |
| VOLUNTARY BENEFITS SPECIALISTS LLC3 | 289 FARRIS AVENUE LAS VEGAS, NV 89183 | TRANSAMERICA LIFE INSURANCE COMPANY | $108K | — | $108K | 29.44% |
| PATRIOT GROWTH INSURANCE SERVICES3 | DBA INTREPID COMPANY 1900 NORTH GRANT STREET, SUITE 650 DENVER, CO 80203 | PRINCIPAL LIFE INSURANCE COMPANY | $23K | $878 | $24K | 11.20% |
| FMLA SOURCE INC3 | 455 NORTH CITYFRONT PLAZA DRIVE 13TH FLOOR CHICAGO, IL 60611 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $36K | $36K | 18.18% |
| PATRIOT GROWTH INSURANCE SERVICES3 | DBA MANIACINI INSURANCE 500 SILVER SPUR ROAD, SUITE 121 ROLLING HILLS EST, CA 90275 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $21K | $6K | $27K | 13.83% |
| PATRIOT GROWTH INSURANCE SERVICES3 | DBA INTREPID COMPANY 1900 NORTH GRANT STREET, SUITE 650 DENVER, CO 80203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $13K | $22K | 11.04% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DRIVE SUITE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $7K | $7K | 3.59% |
| PATRIOT GROWTH INSURANCE SERVICES3 | DBA MANIACINI INSURANCE 500 SILVER SPUR ROAD, SUITE 121 ROLLING HILLS EST, CA 90275 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $20K | $6K | $26K | 13.95% |
| PATRIOT GROWTH INSURANCE SERVICES3 | DBA INTREPID COMPANY 1900 NORTH GRANT STREET, SUITE 650 DENVER, CO 80203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $13K | $21K | 11.37% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GI GEORGE PARENT LP | 501 OFFICE CENTER DRIVE SUITE 215 FORT WASHINGTON, PA 19034 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $7K | $7K | 3.76% |
| ROGERS BENEFIT GROUP INC4 Filed as: M. ROGERS GROUP LLC | P.O. BOX 853 GEORGETOWN, CO 80444 | PRE-PAID LEGAL SERVICES INC. DBA LEGAL SHIELD | $11K | — | $11K | 17.00% |
| SUCCESS STRATEGIES, INC.4 Filed as: SUCCESS STRATEGIES INC | 338 FARM ROAD 71E SULPHUR SPRINGS, TX 75482 | PRE-PAID LEGAL SERVICES INC. DBA LEGAL SHIELD | $652 | — | $652 | 1.00% |
| GEOFF CRAGG4 | P.O. BOX 3496 PARKER, CO 80134 | PRE-PAID LEGAL SERVICES INC. DBA LEGAL SHIELD | $489 | — | $489 | 0.75% |
| DORSEY & ASSOCIATES, INC.4 | 1655 VINERY AVENUE CUMMING, GA 30041 | PRE-PAID LEGAL SERVICES INC. DBA LEGAL SHIELD | $163 | — | $163 | 0.25% |
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 | 2,061 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,061 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN, INC | 56 | $652K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 3,025 | $210K |
| Life insurance(3 contracts, 2 carriers) | TRANSAMERICA LIFE INSURANCE COMPANY | 2,061 | $749K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,061 | $924K |
| Other(4 contracts, 4 carriers) | TRANSAMERICA LIFE INSURANCE COMPANY | 2,061 | $660K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,025 | — |
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.