| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FRANK OLSEN | 397 E DIVISION ST AUDUBON, IA 50025 | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | $18K | — | $18K | 0.50% |
| GALLAGHER BENEFIT SERVICES, INC. Filed as: GALLAGHER BENEFIT SERVICES INC | 10050 REGENCY CIR STE 300 OMAHA, NE 681143721 | AMERITAS LIFE INSURANCE COMPANY | $4K | — | $4K | 1.92% |
| GALLAGHER BENEFIT SERVICES, INC. Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD FL 21 ROLLING MEADOWS, IL 600084050 | AMERITAS LIFE INSURANCE COMPANY | — | $3K | $3K | 1.26% |
| KHI SOLUTIONS LLC | 130 N 25TH ST FORT DODGE, IA 50501 | DEARBORN LIFE INSURANCE COMPANY | $5K | — | $5K | 14.98% |
| WELLMARK INC | PO BOX 10481 DES MOINES, IA 50306 | DEARBORN LIFE INSURANCE COMPANY | — | $3K | $3K | 10.98% |
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 | 424 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 424 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | 424 | $3.6M |
| Dental | AMERITAS LIFE INSURANCE COMPANY | 679 | $216K |
| Vision | AMERITAS LIFE INSURANCE COMPANY | 679 | $216K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 491 | $31K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 491 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 679 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.