| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $34K | $34K | 5.25% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | 3022 AIRPORT BLVD WATERLOO, IA 50701 | DELTA DENTAL OF IOWA | $3K | — | $3K | 8.98% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $555 | $6K | 17.79% |
| BENEFIT 1 INC3 | 1513 AMBER LN GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $158 | $158 | 0.51% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50701 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $199 | $2K | 16.93% |
| BENEFIT 1 INC3 | 1513 AMBER LN GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $57 | $57 | 0.55% |
| SELECT NETWORKS3 | 317 6TH AVE DES MOINES, IA 50309 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 11.00% |
| PDCM INSURANCE DBA ZACH CORP3 | 4704 MILL VIEW COURT COLLEYVILLE, TX 76034 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50701 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $828 | $106 | $934 | 16.91% |
| BENEFIT 1 INC3 | 1513 AMBER LN GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $30 | $30 | 0.54% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50701 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $43 | $43 | 1.96% |
| BENEFIT 1 INC3 | 1513 AMBER LN GUNTERSVILLE, AL 35976 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $12 | $12 | 0.55% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PEDERSEN, DOWIE, CLABBY, MCCAUSLAND NONE | Insurance agents and brokers Service code 22 | PO BOX 2597 WATERLOO, IA 50704 | $46K |
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 | 128 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 87 | $646K |
| Dental | DELTA DENTAL OF IOWA | 73 | $38K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 104 | $10K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 128 | $16K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 138 | $31K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 19 | $2K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 128 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 138 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.