| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT SOURCE INC3 Filed as: BENEFIT SOURCE INC. | 4000 WESTOWN PKWY, SUITE 110 WEST DES MOINES, IA 50266 | SUN LIFE ASSURANCE COMPANY OF CANADA | $11K | — | $11K | 5.99% |
| BENEFIT SOURCE INC3 Filed as: BENEFIT SOURCE INC. | 4000 WESTOWN PKWY SUITE 110 WEST DES MOINES, IA 50266 | DELTA DENTAL OF IOWA | $880 | $212 | $1K | 1.43% |
| SELECT NETWORKS3 | 317 6TH AVENUE, STE 1440 DES MOINES, IA 50309 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 12.04% |
| BENEFIT SOURCE INC3 Filed as: BENEFIT SOURCE | 4000 WESTOWN PKWY, STE 110 WEST DES MOINES, IA 50266 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 10.95% |
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 | 137 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | 140 | $1.6M |
| Dental | DELTA DENTAL OF IOWA | 149 | $77K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 331 | $24K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 159 | $189K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 159 | $189K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 159 | $189K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 331 | — |
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.