| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES | 2727 GRAND PRAIRIE PARKWAY WAUKEE, IA 50263 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 7.76% |
| USI INSURANCE SERVICES LLC3 | P.O. BOX 62187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 7.24% |
| CLARITY ENROLLMENT SOLUTIONS LLC3 | 7825 WASHINGTON AVE S SUITE 710 MINNEAPOLIS, MN 55439 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $3K | $3K | 2.70% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES | P.O. BOX 441 DES MOINES, IA 50302 | STANDARD INSURANCE COMPANY | $3K | $0 | $3K | 5.19% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, INC. | P.O. BOX 62817 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 4.81% |
| JENNON CARUTH3 | 7825 WASHINGTON AVE S SUITE 710 BLOOMINGTON, MN 55439 | STANDARD INSURANCE COMPANY | — | $467 | $467 | 0.96% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES | P.O. BOX 441 DES MOINES, IA 503020441 | VISION SERVICE PLAN | $878 | $0 | $878 | 5.13% |
| USI INSURANCE SERVICES LLC3 | P.O. BOX 62817 VIRGINIA BEACH, VA 234662817 | VISION SERVICE PLAN | $835 | $0 | $835 | 4.87% |
| EMPLOYEE NAVIGATOR, LLC3 | 7979 OLD GEORGETOWN ROAD SUITE 300 BETHESDA, MD 208142554 | VISION SERVICE PLAN | $86 | $0 | $86 | 0.50% |
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 | 149 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | 88 | $975K |
| Dental | STANDARD INSURANCE COMPANY | 86 | $49K |
| Vision | VISION SERVICE PLAN | 81 | $17K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $121K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $121K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $121K |
| Prescription drug | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | 88 | $975K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 149 | $121K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.