| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ZACH CORPORATION Filed as: ZACH CORPORATION DBA GROUP BEN | 622 PROGRESS AVE PO BOX 2597 WATERLOO, IA 50701 | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | $35K | — | $35K | 2.60% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND | PO BOX 2597 WATERLOO, IA 50704 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | — | $5K | 3.89% |
| FADIGA, DUSTIN R9 | 622 W 4TH ST WATERLOO, IA 50701 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 7.44% |
| BROKERAGE SOLUTIONS INC9 Filed as: BROKERAGE SOLUTIONS | 3979 PARK TOWNE CT NE CEDAR RAPIDS, IA 52402 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 1.86% |
| THE SINNOTT AGENCY9 Filed as: THE SINNOTT AGENCY, INC | 622 WEST FOURTH STREET PO BOX 1918 WATERLOO, IA 50704 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 9.11% |
| BROKERAGE SOLUTIONS INC9 Filed as: BROKERAGE SOLUTIONS | 3979 PARK TOWNE CT NE CEDAR RAPIDS, IA 52402 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $858 | — | $858 | 2.28% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | UNITED HEALTHCARE | $2K | — | $2K | 10.97% |
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 | 256 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 256 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | 196 | $1.3M |
| Dental | RELIANCE STANDARD LIFE INSURANCE COMPANY | 130 | $117K |
| Vision | UNITED HEALTHCARE | 86 | $19K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 263 | $151K |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 263 | $151K |
| Long-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 263 | $151K |
| Stop-loss / reinsurancereinsurance | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | 196 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 263 | — |
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."
No prospect flags tripped on this filing.