| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS GREAT PLAINS, LLC | 4200 UNIVERSITY AVE SUITE 200 WEST DES MOINES, IA 50266 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $3K | $13K | 12.43% |
| BHERD3 | 1956 PARK AVE DES MOINES, IA 50315 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 4.60% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS GREAT PLAINS, LLC | 4200 UNIVERSITY AVENUE SUITE 200 WEST DES MOINES, IA 50266 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $8K | $967 | $9K | 16.92% |
| BHERD3 Filed as: BHERD, LLC | 1956 PARK AVENUE DES MOINES, IA 50315 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 5.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS GREAT PLAINS, LLC | 4200 UNIVERSITY AVENUE SUITE 200 WEST DES MOINES, IA 50266 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | $804 | $7K | 17.01% |
| BHERD3 Filed as: BHERD, LLC | 1956 PARK AVENUE DES MOINES, IA 50315 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 5.00% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS GREAT PLAINS, LLC | 914 AVENUE G FORT MADISON, IA 52627 | FIDELITY SECURITY LIFE | $1K | — | $1K | 9.99% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS GREAT PLAINS, LLC | 4200 UNIVERSITY AVENUE SUITE 200 WEST DES MOINES, IA 50266 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $548 | $118 | $666 | 12.15% |
| BHERD3 Filed as: BHERD, LLC | 1956 PARK AVENUE DES MOINES, IA 50315 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $274 | — | $274 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TRISTAR BENEFIT ADMINISTRATORS EIN 38-3739503 CONTRACT ADMIN | Claims processing Service code 12 | — | $15K |
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 HEALTH PLAN OF IOWA | 172 | $2.0M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 486 | $101K |
| Vision | FIDELITY SECURITY LIFE | 275 | $13K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 229 | $40K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 229 | $50K |
| Prescription drug | WELLMARK HEALTH PLAN OF IOWA | 172 | $2.0M |
| Other(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 229 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 486 | — |
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.