| 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 | $31K | $0 | $31K | 1.70% |
| THE SINNOTT AGENCY9 Filed as: THE SINNOTT AGENCY INC | 622 WEST FOURTH STREET PO BOX 1918 WATERLOO, IA 50704 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $8K | $0 | $8K | 5.66% |
| BROKERAGE SOLUTIONS INC9 Filed as: BROKERAGE SOLUTIONS | 3979 PARK TOWNE CT NE CEDAR RAPIDS, IA 52402 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $486 | $3K | 1.75% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $0 | $5K | 3.98% |
| PEDERSEN DOWIE CLABBY & MCCAUSLAND3 | PO BOX 2597 WATERLOO, IA 50704 | UNITED HEALTHCARE INSURANCE COMPANY | $2K | $0 | $2K | 10.86% |
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 | 229 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | 176 | $1.8M |
| Dental | RELIANCE STANDARD LIFE INSURANCE COMPANY | 139 | $115K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 207 | $21K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 229 | $145K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 229 | $145K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 229 | $145K |
| Stop-loss / reinsurancereinsurance | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | 176 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 229 | — |
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.