| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BOTTOM LINE INSURANCE SVCS LLC3 Filed as: BOTTOM LINE INSURANCE SERVICES, LLC | — | AETNA | $28K | — | $28K | 6.68% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | — | AETNA | $14K | — | $14K | 3.49% |
| BOTTOM LINE INSURANCE SVCS LLC3 Filed as: BOTTOM LINE INSURANCE SERVICES, LLC | — | AETNA | $20K | — | $20K | 6.60% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | — | AETNA | $11K | — | $11K | 3.45% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 1902 WRIGHT PL CORNERSTON CORPORATE CENTER 2ND CARLSBAD, CA 92008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $2K | $9K | 12.63% |
| EA LEGACY LLC5 Filed as: EA LEGACY LLC, | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $431 | $431 | 0.60% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 1902 WRIGHT PL CORNERSTON CORPORATE CENTER 2ND CARLSBAD, CA 92008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $2K | $4K | 23.99% |
| EA LEGACY LLC5 Filed as: EA LEGACY LLC, | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $106 | $106 | 0.62% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 1902 WRIGHT PL CORNERSTON CORPORATE CENTER 2ND CARLSBAD, CA 92008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $764 | $394 | $1K | 15.16% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 1902 WRIGHT PL CORNERSTON CORPORATE CENTER 2ND CARLSBAD, CA 92008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $447 | $2K | 21.21% |
| EA LEGACY LLC5 Filed as: EA LEGACY LLC, | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $192 | $192 | 2.66% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 1902 WRIGHT PL CORNERSTON CORPORATE CENTER 2ND CARLSBAD, CA 92008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $996 | $363 | $1K | 20.46% |
| EA LEGACY LLC5 Filed as: EA LEGACY LLC, | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $188 | $188 | 2.83% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 1902 WRIGHT PL CORNERSTON CORPORATE CENTER 2ND CARLSBAD, CA 92008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $948 | $351 | $1K | 20.56% |
| EA LEGACY LLC5 Filed as: EA LEGACY LLC, | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $230 | $230 | 3.64% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 1902 WRIGHT PL CORNERSTON CORPORATE CENTER 2ND CARLSBAD, CA 92008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $761 | $237 | $998 | 19.68% |
| EA LEGACY LLC5 Filed as: EA LEGACY LLC, | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $432 | $432 | 8.52% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 1902 WRIGHT PL CORNERSTON CORPORATE CENTER 2ND CARLSBAD, CA 92008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $637 | $361 | $998 | 23.51% |
| EA LEGACY LLC5 Filed as: EA LEGACY LLC, | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $76 | $76 | 1.79% |
| EA LEGACY LLC5 Filed as: EA LEGACY LLC, | 1724 E 5TH AVE TAMPA, FL 33605 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $684 | $684 | 35.96% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 1902 WRIGHT PL CORNERSTON CORPORATE CENTER 2ND CARLSBAD, CA 92008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $285 | $94 | $379 | 19.93% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 1902 WRIGHT PL CORNERSTON CORPORATE CENTER 2ND CARLSBAD, CA 92008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $296 | $3 | $299 | 20.23% |
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 | 90 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 92 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA | 27 | $308K |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 68 | $71K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 60 | $8K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 41 | $8K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 19 | $17K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 41 | $9K |
| Other(5 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 41 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 69 | — |
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.