| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $18K | $18K | 6.80% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50703 | DELTA DENTAL OF IOWA | $3K | $536 | $4K | 11.67% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 9.47% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50701 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $2K | $5K | 26.27% |
| BENEFIT 1 INC DBA TRUENETWORK OF AD3 | 1513 AMBER LN GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $158 | $158 | 0.89% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 20.00% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | 3927 UNIVERSITY AVE WATERLOO, IA 50701 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $962 | $655 | $2K | 25.21% |
| BENEFIT 1 INC DBA TRUENETWORK OF AD3 | 1513 AMBER LN GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $57 | $57 | 0.89% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $640 | — | $640 | 11.01% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50701 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $480 | $347 | $827 | 25.84% |
| BENEFIT 1 INC DBA TRUENETWORK OF AD3 | 1513 AMBER LN GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $30 | $30 | 0.94% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $408 | — | $408 | 15.01% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50701 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $142 | $142 | 11.16% |
| BENEFIT 1 INC DBA TRUENETWORK OF AD3 | 1513 AMBER LN GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $12 | $12 | 0.94% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PEDERSEN, DOWIE, CLABBY, MCCAUSLAND NONE | Insurance agents and brokers Service code 22 | PO BOX 2597 WATERLOO, IA 50704 | $36K |
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 | 137 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 85 | $264K |
| Dental | DELTA DENTAL OF IOWA | 69 | $32K |
| Life insurance(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 116 | $15K |
| Short-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,269 | $49K |
| Long-term disability(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 19 | $4K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 52 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,269 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.