| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY & ASSOCIATES LLC | PO BOX 441 DES MOINES, IA 50302 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $1K | $4K | 4.73% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS GREAT PLAINS, LLC | 4200 UNIVERSITY AVE STE 200 WEST DES MOINES, IA 50266 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | $1K | $3K | 3.44% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY ATTN OPERATING ACCOUN | 2727 GRAND PRAIRIE PKWY WAUKEE, IA 50263 | PRINCIPAL LIFE INSURANCE COMPANY | — | $778 | $778 | 0.97% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY & ASSOCIATES INC | PO BOX 441 DES MOINES, IA 50302 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $451 | $4K | 9.66% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS GREAT PLAINS LLC | 4200 UNIVERSITY AVE SUITE 200 WEST DES MOINES, IA 50266 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 6.54% |
| BHERD, LLC3 Filed as: BHERD LLC | 1956 PARK AVE DES MOINES, IA 50315 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $820 | — | $820 | 2.18% |
| HOLMES MURPHY & ASSOCIATES3 | PO BOX 441 DES MOINES, IA 50302 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $428 | $3K | 9.99% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS GREAT PLAINS LLC | 4200 UNIVERSITY AVE SUITE 200 WEST DES MOINES, IA 50266 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | — | $2K | 6.39% |
| BHERD, LLC3 Filed as: BHERD LLC | 1956 PARK AVE DES MOINES, IA 50315 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $662 | — | $662 | 2.13% |
| SELECT NETWORKS5 | 317 6TH AVE SUITE 1440 DES MOINES, IA 50309 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 11.00% |
| HOLMES MURPHY & ASSOCIATES5 | 3333 LEE PARKWAY SUITE 900 DALLAS, TX 75219 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $689 | — | $689 | 5.77% |
| ASSUREDPARTNERS5 Filed as: ASSURED PARTNERS GREAT PLAINS, LLC | 914 AVENUE G FORT MADISON, IA 52627 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $505 | — | $505 | 4.23% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY & ASSOCIATES INC | PO BOX 441 DES MOINES, IA 50302 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $269 | $59 | $328 | 6.85% |
| ASSUREDPARTNERS3 Filed as: ASSURED PARTNERS GREAT PLAINS LLC | 4200 UNIVERSITY AVE SUITE 200 WEST DES MOINES, IA 50266 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $209 | — | $209 | 4.37% |
| BHERD, LLC3 Filed as: BHERD LLC | 1956 PARK AVE DES MOINES, IA 50315 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $104 | — | $104 | 2.17% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TRISTAR BENEFIT ADMINISTRATORS EIN 38-3739503 | 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 | 343 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 343 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK, INC. | 167 | $1.9M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 343 | $80K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 242 | $12K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 192 | $42K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 192 | $31K |
| Prescription drug(2 contracts, 2 carriers) | WELLMARK, INC. | 167 | $1.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 343 | — |
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.