| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ZUETENHORT FINANCIAL4 | PO BOX 195 N/A SIOPUX CENTER, IA 51250 | WELLMARK BLUE CROSS BLUE SHEILD | $12K | $0 | $12K | 2.89% |
| ROBERT POWERS4 | 120 CENTRAL AVE EAST CLARION, IA 50525 | WELLMARK BLUE CROSS BLUE SHEILD | $12K | $0 | $12K | 2.89% |
| ZUENTHORST FINANCIAL4 | PO BOX 195 SIOUX CENTER, IA 51250 | AIG MEDICAL EXCESS | $1K | $0 | $1K | 3.50% |
| PARADIGM GROUP4 Filed as: PARADIGM BENEFITS | 120 CENTRAL AVE EAST CLARION, IA 50525 | AIG MEDICAL EXCESS | $1K | $0 | $1K | 3.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PARADIGM BENEFITS EIN 45-0487455 BROKER | Consulting (general) Service code 16 | — | $0 |
| WELLMARK BCBS OF SOUTH DAKOTA EIN 42-1459204 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 636 GRAND AVE DES MOINES, IA 50309 | $0 |
| ZEUTENHORST FINANCIAL EIN 42-1482727 BROKER | Consulting (general) Service code 16 | — | $0 |
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 | 166 | 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) | 166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | WELLMARK BLUE CROSS BLUE SHEILD | 166 | $406K |
| Other | AIG MEDICAL EXCESS | 166 | $34K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 166 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.