| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GROUP BENEFITS LTD3 Filed as: GROUP BENEFITS, LTD | 12006 RIDGEMONT DR URBANDALE, IA 50323 | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | $45K | — | $45K | 3.04% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | ASSURITY LIFE INSURANCE | $24K | — | $24K | 19.25% |
| GROUP BENEFITS LTD3 Filed as: GROUP BENEFITS | 12006 RIDGEMONT DRIVE URBANDALE, IA 50323 | DELTA DENTAL OF IOWA | $4K | $369 | $4K | 6.19% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DRIVE URBANDALE, IA 50323 | VERATRUS BENEFIT SOLUTIONS | $1K | — | $1K | 10.00% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 50323 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $951 | — | $951 | 10.00% |
| GROUP BENEFITS LTD3 | 12006 RIDGEMONT DR URBANDALE, IA 503232317 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $690 | $690 | 7.26% |
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 | 326 | 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) | 326 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | 156 | $1.5M |
| Dental | DELTA DENTAL OF IOWA | 103 | $65K |
| Vision | VERATRUS BENEFIT SOLUTIONS | 82 | $14K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 264 | $10K |
| Short-term disability | ASSURITY LIFE INSURANCE | 326 | $126K |
| Other(2 contracts, 2 carriers) | ASSURITY LIFE INSURANCE | 326 | $136K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 326 | — |
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."
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.