| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEVEN G JOHNSON3 Filed as: STEVEN G. JOHNSON | 35989 HIGHWAY 69 STE C FOREST CITY, IA 50436 | AFLAC | $4K | $50 | $4K | 6.38% |
| MONIKA M ARENDS3 | 1912 XIRCUS AVE WILLIAMS, IA 50271 | AFLAC | $682 | $12 | $694 | 1.19% |
| THE TODD GROUP3 | 4409 BLAIR RIDGE RD CEDAR FALLS, IA 50613 | AFLAC | $417 | — | $417 | 0.72% |
| THE SHARON MILLER AGENCY LLC3 | PO BOX 553 LATIMER, IA 50452 | AFLAC | $158 | — | $158 | 0.27% |
| SKYLAR D BERDAUS3 | 1100 1ST AVE N APT 23 FORT DODGE, IA 50501 | AFLAC | $116 | — | $116 | 0.20% |
| GINA M WESOLEK3 Filed as: GINA WIEGAND | 20379 TWIN PINES DR EARLHAM, IA 50072 | AFLAC | $74 | — | $74 | 0.13% |
| ALISON ZIESMER3 | 2285 260TH ST GARNER, IA 50438 | AFLAC | $69 | — | $69 | 0.12% |
| MATTHEW D BUTLER3 | 1298 BUCKHORN WAY LOUDON, TN 37774 | AFLAC | $66 | — | $66 | 0.11% |
| CAROL J THOMPSON3 | 51717 SUMMER WOOD CT GRANGER, IN 46530 | AFLAC | $63 | — | $63 | 0.11% |
| HOLLY A BRINK3 | 30601 DEER TRAIL DR NEW HARTFORD, IA 50660 | AFLAC | $56 | — | $56 | 0.10% |
| JOSHUA D TERRELL3 | 812 VENETIAN ISLES DR APT 1 LAKE PARK, FL 33403 | AFLAC | $54 | — | $54 | 0.09% |
| GERALD L STEPHAN JR3 | 101 N CLARK ST FOREST CITY, IA 50436 | AFLAC | $47 | — | $47 | 0.08% |
| TARA STUDER & ASSOCIATES3 | PO BOX 104 ROCKWELL, IA 50469 | AFLAC | $46 | — | $46 | 0.08% |
| CINDY ANDERSON3 | 18862D 345TH ST FOREST CITY, IA 50436 | AFLAC | $44 | — | $44 | 0.08% |
| MISSY A ARENHOLZ3 | 403 W PROSPECT ST BOX 712 SHELL ROCK, IA 50670 | AFLAC | $41 | — | $41 | 0.07% |
| THERESA WILLIAMS JONES3 | 125 CLIFFVIEW DR QUITMAN, AR 72131 | AFLAC | $33 | — | $33 | 0.06% |
| MONICA WENTZ3 Filed as: MONICA G WENTZ | 2629 UPPER CANEY VALLEY RD TAZEWELL, TN 37879 | AFLAC | $30 | — | $30 | 0.05% |
| SCOTT R FRITCHER3 | 9701 AURORA AVE URBANDALE, IA 50322 | AFLAC | $27 | — | $27 | 0.05% |
| PAUL M MARTINDALE3 | 10255 PRETTY LAKE TRL PLYMOUTH, IN 46563 | AFLAC | $17 | — | $17 | 0.03% |
| HOWARD EATON3 | 3141 PRAIRIE ROSE DR NORWALK, IA 50211 | AFLAC | $16 | — | $16 | 0.03% |
| KACY A GRUENKEMEYER3 | 558 CLINGMANS LN CHATTANOOGA, TN 37419 | AFLAC | $12 | — | $12 | 0.02% |
| AUSTIN J PETERSON3 | 11116 AURORA AVE URBANDALE, IA 50322 | AFLAC | $9 | — | $9 | 0.02% |
| HEATHER D SWANSON3 | 115 SE BAYTREE DR WAUKEE, IA 50263 | AFLAC | $8 | — | $8 | 0.01% |
| BERNARD J BRAZEAU3 | 6705 GRIMES ST INDIANOLA, IA 50125 | AFLAC | $8 | — | $8 | 0.01% |
| JOHN F GLAUB3 | 54369 30TH ST SOUTH BEND, ID 46635 | AFLAC | $4 | — | $4 | 0.01% |
| RONALD L HOVICK3 | 2214 SW 43RD TER CAPE CORAL, FL 33914 | AFLAC | $2 | — | $2 | 0.00% |
| DANNY R. OSTER3 Filed as: DANNY WHITMIRE | 470 YELLOWSTONE DR PLYMOUTH, IN 46563 | AFLAC | $2 | — | $2 | 0.00% |
| GERRIT J VIS3 | 1435 MAIN ST PO BOX 86 ROCK VALLEY, IA 51247 | AFLAC | $1 | — | $1 | 0.00% |
| JAMES L HAYES3 | 1110 O AVE NW APT 207 CEDAR RAPIDS, IA 52405 | AFLAC | $1 | — | $1 | 0.00% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES | 2727 GRAND PRAIRIE PKWY STE C WAUKEE, IA 50263 | DELTA DENTAL | $2K | $73 | $2K | 7.14% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES, LLC | 2727 GRAND PRAIRIE PARKWAY WAUKEE, IA 502638844 | METROPOLITAN LIFE INSURANCE COMPANY | $854 | $28 | $882 | 12.92% |
| STEVEN G JOHNSON3 | 15513 390TH ST LELAND, IA 50453 | CONTINENTAL AMERICAN INSURANCE COMPANY | $158 | — | $158 | 6.57% |
| THE TODD GROUP3 | 808 E 18TH ST CEDAR FALLS, IA 50613 | CONTINENTAL AMERICAN INSURANCE COMPANY | $37 | — | $37 | 1.54% |
| MATTHEW D BUTLER3 | 1298 BUCKHORN WAY LOUDON, IA 377745667 | CONTINENTAL AMERICAN INSURANCE COMPANY | $20 | — | $20 | 0.83% |
| 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 501258551 | 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 | 69 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 69 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | WELLMARK HEALTH PLAN OF IOWA, INC. | 31 | $725K |
| Dental | DELTA DENTAL | 52 | $34K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 105 | $7K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 105 | $7K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 46 | $61K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 105 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 105 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.