| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COMPANY EIN 36-2739571 | Claims processing Service code 12 | — | $969K |
| SOLXSYS ADMINISTRATIVE SOLUTIONS EIN 83-2454243 | Contract Administrator Service code 13 | — | $308K |
| BLAKE & UHLIG EIN 48-0918231 | Legal Service code 29 | — | $193K |
| COMPUSYS OF UTAH, INC. EIN 84-0869853 | Contract Administrator; Claims processing Service code 12 | — | $141K |
| UNITED ACTUARIAL SERVICE EIN 35-2156428 | Actuarial Service code 11 | — | $70K |
| DEBOER & ASSOCIATES, PC EIN 47-0836395 | Accounting (including auditing) Service code 10 | — | $45K |
| COMMUNITY STATE BANK EIN 42-0839178 | Account maintenance fees; Custodial (securities); Securities brokerage; Trustee (bank, trust company, or similar financial institution) Service code 19 | — | $41K |
| FIDUCIENT ADVISORS EIN 36-4001764 | Investment advisory (plan) Service code 27 | — | $30K |
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 | 2,242 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 101 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,343 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF IOWA | 2,312 | $1.6M |
| Vision | VISION SERVICE PLAN | 2,346 | $195K |
| Stop-loss / reinsurancereinsurance | UNION LABOR LIFE INSURANCE COMPANY | 2,317 | $602K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,346 | — |
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.