| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: LEAVITT GREAT WEST INS. SVCS. LLC | 2345 KING AVENUE WEST, SUITE E BILLINGS, MT 59102 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $21K | $13K | $34K | 15.89% |
| LEAVITT GROUP3 Filed as: LEAVITT GREAT WEST INS. SVCS., LLC | PO BOX 2518 BILLINGS, MT 59103 | VISION SERVICE PLAN | $2K | $0 | $2K | 3.62% |
| LEAVITT GROUP3 Filed as: LEAVITT GREAT WEST INS. SVCS. LLC | 2345 KING AVENUE WEST, SUITE E BILLINGS, MT 59102 | MUTUAL OF OMAHA INSURANCE COMPANY | $1K | $630 | $2K | 15.00% |
| LEAVITT GROUP3 Filed as: LEAVITT GREAT WEST INS. SVCS., LLC | 3390 COLTON DRIVE, SUITE A HELENA, MT 59602 | NATIONAL FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $332 | $0 | $332 | 15.02% |
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 | 369 | 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) | 369 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 313 | $47K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 369 | $212K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 369 | $212K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 369 | $227K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 369 | — |
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.