| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PDCM INSURANCE3 Filed as: PDCM | PO BOX 2597 WATERLOO, IA 507042597 | UNITED HEALTHCARE INSURANCE COMPANY | $9K | $0 | $9K | 0.16% |
| PDCM INSURANCE3 Filed as: PDCM | P.O. BOX 2597 WATERLOO, IA 50704 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $23K | $9K | $32K | 13.85% |
| SELECT NETWORKS3 | 317 6TH AVENUE SUITE 1440 DES MOINES, IA 50309 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $9K | $0 | $9K | 10.99% |
| PDCM INSURANCE3 Filed as: PDCM | 622 PROGRESS AVENUE WATERLOO, IA 50701 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $8K | $0 | $8K | 9.99% |
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 | 594 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 594 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 1,121 | $5.6M |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 1,121 | $5.6M |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 329 | $81K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 594 | $234K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 594 | $234K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 594 | $234K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 1,121 | $5.6M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 594 | $234K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,121 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.