| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MODERN BENEFITS SOLUTIONS INC3 Filed as: MODERN BENEFITS SOLUTIONS, INC. | 2414 S. KATY CT. SPOKANE, WA 99224 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $17K | — | $17K | 20.00% |
| MODERN BENEFITS SOLUTIONS INC3 Filed as: MODERN BENEFITS SOLUTIONS, INC. | 2414 S. KATY CT. SPOKANE, WA 99224 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 10.00% |
| MODERN BENEFITS SOLUTIONS INC3 | 2414 S. KATY CT. SPOKANE, WA 99224 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 10.00% |
| MODERN BENEFITS SOLUTIONS INC3 Filed as: MODERN BENEFITS SOLUTIONS, INC. | 2414 S. KATY CT. SPOKANE, WA 99224 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 25.00% |
| MODERN BENEFITS SOLUTIONS INC3 Filed as: MODERN BENEFITS SOLUTIONS, INC. | 2414 S. KATY CT. SPOKANE, WA 99224 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 25.00% |
| MODERN BENEFITS SOLUTIONS INC3 Filed as: MODERN BENEFITS SOLUTIONS, INC. | 2414 S. KATY CT. SPOKANE, WA 99224 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 20.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DWS HOLDINGS DBA PINNACLE PEAK ADM. EIN 45-3763152 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | — | $94K |
| AMERITAS LIFE INSURANCE CORP. CLAIMS PROCESSING | Claims processing Service code 12 | PO BOX 81889 LINCOLN, NE 68501 | $35K |
| NSQUARED CONSULTING, LLC EIN 84-4233260 PRODUCER FEE | Insurance agents and brokers Service code 22 | — | $16K |
| MODERN BENEFITS SOLUTIONS EIN 47-1756760 PRODUCER FEES | Insurance agents and brokers Service code 22 | — | $14K |
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 | 544 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 14 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 558 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 541 | $57K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 77 | $18K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 544 | $71K |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 541 | $186K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 544 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.