| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 4280 SERGEANT RD STE 200 SIOUX CITY, IA 511064647 | UNITED HEALTHCARE INSURANCE COMPANY | — | $12K | $12K | 0.80% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 650 E. CARMEL DR., STE. 400 CARMEL, IN 46032 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $13K | $10K | $23K | 18.00% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: WELLMARK BLUE CROSS BLUE SHIELD | 1331 GRAND AVENUE DES MOINES, IA 50309 | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | $3K | — | $3K | 2.93% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 6967 S RIVER GATE DR MIDVALE, UT 84047 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $5K | $9K | 20.44% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 6967 S RIVER GATE DR MIDVALE, UT 84047 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $3K | $5K | 20.53% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 4200 CORPORATE DRIVE, STE 160 WEST DES MOINES, IA 50266 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 14.13% |
| INNOVATIVE BENEFIT PLANNING, LLC3 Filed as: INNOVATIVE BENEFIT CONSULTANTS | 412 WATER STREET SIOUX CITY, IA 51103 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $454 | — | $454 | 1.80% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES, INC | 1 W 4TH ST., STE 109 CINCINNATI, OH 45202 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| SELECT NETWORKS3 | 6165 NW 86TH STREET, STE 108 JOHNSTON, IA 50131 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $306 | — | $306 | 1.42% |
| WELLMARK INC3 Filed as: WELLMARK, INC | 1331 GRAND AVENUE DES MOINES, IA 50309 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $76 | — | $76 | 0.35% |
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 | 108 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 187 | $1.5M |
| Dental | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | 116 | $97K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 195 | $21K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 153 | $43K |
| Short-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 149 | $153K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 153 | $26K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 149 | $127K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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."
No prospect flags tripped on this filing.