| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DREW ENGEBRECHT3 | HOLMES MURPHY AND ASSOCIATES, INC. PO BOX 441 DES MOINES, IA 50302 | HEALTHPARTNERS | $14K | $13 | $14K | 1.68% |
| STEPHANIE MARIE LEUCK3 | HOLMES MURPHY AND ASSOCIATES LLC 2727 GRAND PRAIRIE PKWY WAUKEE, IA 50263 | HEALTHPARTNERS | $3K | $14 | $3K | 0.33% |
| STEVEN G JOHNSON3 Filed as: STEVEN G. JOHNSON | 35989 HIGHWAY 69 STE C FOREST CITY, IA 50436 | AFLAC | $5K | $160 | $5K | 6.85% |
| MONIKA M ARENDS3 | 1912 XIRCUS AVE WILLIAMS, IA 50271 | AFLAC | $823 | $37 | $860 | 1.15% |
| THE TODD GROUP3 | 4409 BLAIR RIDGE RD CEDAR FALLS, IA 50613 | AFLAC | $395 | — | $395 | 0.53% |
| SKYLAR D BERDAUS3 | 1100 1ST AVE N APT 23 FORT DODGE, IA 50501 | AFLAC | $302 | — | $302 | 0.41% |
| THE SHARON MILLER AGENCY LLC3 | PO BOX 553 LATIMER, IA 50452 | AFLAC | $184 | — | $184 | 0.25% |
| GINA WIEGAND3 | 20379 TWIN PINES DR EARLHAM, IA 50072 | AFLAC | $117 | — | $117 | 0.16% |
| MISSY A ARENHOLZ3 | 403 W PROSPECT ST BOX 712 SHELL ROCK, IA 50670 | AFLAC | $99 | — | $99 | 0.13% |
| MATTHEW D BUTLER3 | 123 CENTER PARK DR STE 102 KNOXVILLE, TN 37922 | AFLAC | $86 | — | $86 | 0.12% |
| ALISON ZIESMER3 | 2285 260TH ST GARNER, IA 50438 | AFLAC | $73 | — | $73 | 0.10% |
| JOSHUA D TERRELL3 | 812 VENETIAN ISLES DR APT 1 LAKE PARK, FL 33403 | AFLAC | $64 | — | $64 | 0.09% |
| THERESA WILLIAMS JONES3 | 125 CLIFFVIEW DR QUITMAN, AR 72131 | AFLAC | $63 | — | $63 | 0.08% |
| SCOTT R FRITCHER3 | 212 NW SUNSET LN GRIMES, IA 50111 | AFLAC | $59 | — | $59 | 0.08% |
| CAROL J THOMPSON3 | 51717 SUMMER WOOD CT GRANGER, IN 46530 | AFLAC | $58 | — | $58 | 0.08% |
| GERALD L STEPHAN JR3 | 101 N CLARK ST FOREST CITY, IA 50436 | AFLAC | $49 | — | $49 | 0.07% |
| TARA STUDER & ASSOCIATES3 | PO BOX 104 ROCKWELL, IA 50469 | AFLAC | $48 | — | $48 | 0.06% |
| CINDY ANDERSON3 | 18862D 345TH ST FOREST CITY, IA 50436 | AFLAC | $44 | — | $44 | 0.06% |
| BENJAMIN THOMAS WITHERS3 | 1304 HILLCREST DR WAVERLY, IA 50677 | AFLAC | $34 | — | $34 | 0.05% |
| HOWARD EATON3 | 3141 PRAIRIE ROSE DR NORWALK, IA 50211 | AFLAC | $27 | — | $27 | 0.04% |
| MONICA WENTZ3 Filed as: MONICA G WENTZ | 2629 UPPER CANEY VALLEY RD TAZEWELL, TN 37879 | AFLAC | $23 | — | $23 | 0.03% |
| KACY A GRUENKEMEYER3 | 558 CLINGMANS LN CHATTANOOGA, TN 37419 | AFLAC | $16 | — | $16 | 0.02% |
| PAUL M MARTINDALE3 | 10255 PRETTY LAKE TRL PLYMOUTH, IN 46563 | AFLAC | $16 | — | $16 | 0.02% |
| AUSTIN J PETERSON3 | 11116 AURORA AVE URBANDALE, IA 50322 | AFLAC | $15 | — | $15 | 0.02% |
| HEATHER D SWANSON3 | 115 SE BAYTREE DR WAUKEE, IA 50263 | AFLAC | $10 | — | $10 | 0.01% |
| BERNARD J BRAZEAU3 | 6705 GRIMES ST INDIANOLA, IA 50125 | AFLAC | $10 | — | $10 | 0.01% |
| GERRIT J VIS3 | 1435 MAIN ST PO BOX 86 ROCK VALLEY, IA 51247 | AFLAC | $6 | — | $6 | 0.01% |
| JAMES L HAYES3 | 1547 CEDAR SPRINGS CT NORTH LIBERTY, IA 52317 | AFLAC | $4 | — | $4 | 0.01% |
| JOHN F GLAUB3 | 54369 30TH ST SOUTH BEND, ID 46635 | AFLAC | $4 | — | $4 | 0.01% |
| JAMES A SMAARDYK3 | 3972 HOLLIS AVE PORT CHARLOTTE, FL 33953 | AFLAC | $3 | — | $3 | 0.00% |
| RONALD L HOVICK3 | 2214 SW 43RD TER CAPE CORAL, FL 33914 | AFLAC | $2 | — | $2 | 0.00% |
| DANNY L WHITMIRE3 Filed as: DANNY WHITEMIRE | 470 YELLOWSTONE DR PLYMOUTH, IN 46563 | AFLAC | $2 | — | $2 | 0.00% |
| RICHARD R KIMBROUGH3 | 1972 MUIRFIELD WAY SE PALM BAY, FL 32909 | AFLAC | $2 | — | $2 | 0.00% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES | 2727 GRAND PRAIRIE PKWY WAUKEE, IA 50263 | DELTA DENTAL | $3K | $85 | $3K | 6.12% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES, LLC | PO BOX 441 DES MOINES, IA 50302 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $30 | $3K | 12.90% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES, LLC | ATTN OPERATING ACCOUNT PO BOX 441 DES MOINES, IA 50302 | METROPOLITAN LIFE INSURANCE COMPANY | — | $3 | $3 | 0.01% |
| STEVEN G JOHNSON3 | 15513 390TH ST LELAND, IA 50453 | CONTINENTAL AMERICAN INSURANCE COMPANY | $150 | — | $150 | 6.23% |
| THE TODD GROUP3 | 808 E 18TH ST CEDAR FALLS, IA 50613 | CONTINENTAL AMERICAN INSURANCE COMPANY | $35 | — | $35 | 1.45% |
| MATTHEW D BUTLER3 | 1298 BUCKHORN WAY LOUDON, TN 37774 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.75% |
| RONALD L HOVICK3 | 2214 SW 43RD TERRACE CAPE CORAL, FL 33914 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.08% |
| SCOTT R FRITCHER3 | 3511 131ST ST URBANDALE, IA 50323 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.08% |
| BERNARD J BRAZEAU3 | 6705 GRIMES ST INDIANOLA, IA 50125 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.08% |
| HEATHER D SWANSON3 | 825 SPRUCE STREET WAUKEE, IA 50263 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.08% |
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 | 100 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 101 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTHPARTNERS | 124 | $866K |
| Dental | DELTA DENTAL | 73 | $52K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 210 | $20K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 210 | $20K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 70 | $77K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 210 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 210 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.