| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS AGENCY OF VA, INC | 11220 ASSETT LOOP STE 304 MANASSAS, VA 20109 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $726 | $726 | 3.68% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES, INC | 3200 E CAMELBACK RD STE 129 PHOENIX, AZ 85018 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $662 | $662 | 3.77% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES, INC | 3200 E CAMELBACK RD STE 129 PHOENIX, VA 85018 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $609 | $609 | 3.94% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES, INC | 3200 E CAMELBACK RD STE 129 PHOENIX, AZ 85018 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $217 | $217 | 3.06% |
| ZARINAH T NADIR4 | 1113 W KILAREA AVE MESA, AZ 85210 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $306 | — | $306 | 14.70% |
| HAYS COMPANIES, INC.4 Filed as: HAY'S COMPANIES INC | 7570 W 21ST ST N WICHITA, KS 67205 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $62 | — | $62 | 2.98% |
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 | 93 | 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) | 93 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 94 | $35K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 22 | $7K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 94 | $18K |
| Other(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 99 | $40K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 99 | — |
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."
No prospect flags tripped on this filing.