| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CROWN RISK MANAGEMENT, LLC3 Filed as: LMC INSURANCE & RISK MANAGEMENT INC | 4200 UNIVERSITY AVE #200 WEST DES MOINES, IA 502665945 | WELLMARK, INC. | $30K | — | $30K | 3.82% |
| DELTA DENTAL3 | PO BOX 9010 JOHNSTON, IA 501319010 | DELTA DENTAL OF IOWA | — | $7K | $7K | 16.91% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | RELIANCE STANDARD | $3K | $833 | $4K | 13.10% |
| INDEPENDENT INSURANCE GROUP INC3 Filed as: INDEPENDENT INSURANCE SERVICES | PO BOX 248 MARSHALLTOWN, IA 50158 | EMC NATIONAL LIFE COMPANY | $2K | — | $2K | 10.00% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | RELIANCE STANDARD | $2K | $389 | $3K | 19.12% |
| LAMAIR MULOCK CONDON CO3 Filed as: LAMAIR-MULOCK-CONDON CO | 4200 UNIVERSITY AVE, STE 200 WEST DES MOINES, IA 502665945 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 11.61% |
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 | 190 | 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) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK, INC. | 98 | $789K |
| Dental | DELTA DENTAL OF IOWA | 112 | $41K |
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 136 | $9K |
| Life insurance | EMC NATIONAL LIFE COMPANY | 170 | $23K |
| Short-term disability | RELIANCE STANDARD | 189 | $28K |
| Long-term disability | RELIANCE STANDARD | 190 | $13K |
| Prescription drug | WELLMARK, INC. | 98 | $789K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 190 | — |
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 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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.