| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE AGENCY INC | P.O. BOX 1090 PARIS, IL 619445090 | HEALTH ALLIANCE MEDICAL PLANS | $44K | $0 | $44K | 2.68% |
| MUTUAL MED INSURANCE SERVICES3 | 4321 E 60TH ST DAVENPORT, IA 52807 | HEALTH ALLIANCE MEDICAL PLANS | $22K | $0 | $22K | 1.36% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS INSURANCE LLC | 110 W COURT ST PO BOX 1090 PARIS, IL 61944 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $3K | $7K | 6.55% |
| MUTUAL MED INS SERVICES LLC3 Filed as: MUTUAL MED INS SERVICES, LLC | 4321 E 60TH ST DAVENPORT, IA 52807 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 1.03% |
| ASSUREDPARTNERS3 Filed as: DIMOND BROS. INSURANCE AGENCY, INC | P.O. BOX 1090 PARIS, IL 619445090 | VISION SERVICE PLAN | $927 | $0 | $927 | 4.08% |
| MUTUAL MED INSURANCE SERVICES3 Filed as: MUTUAL MED INSURANCE SERVICES, LLC | 4321 E 60TH ST DAVENPORT, IA 52807 | VISION SERVICE PLAN | $261 | $0 | $261 | 1.15% |
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 | 245 | 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) | 245 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH ALLIANCE MEDICAL PLANS | 392 | $1.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 293 | $105K |
| Vision | VISION SERVICE PLAN | 258 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 392 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.