| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| K B GROUP SERVICES INC3 Filed as: KB GROUP SERVICES INC | 3066 VICTORIA STREET BETTENDORF, IA 52722 | SUN LIFE ASSURANCE COMPANY OF CANADA | $39K | — | $39K | 12.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2 PIERCE PLACE FLOOR 14 ITASCA, IL 60143 | METROPOLITIAN LIFE INSURANCE COMPANY | $6K | $2K | $8K | 11.42% |
| GROUP BENEFITS LTD3 Filed as: GROUP SERVICES | 30666 VICTORIA STREET BETTENDORF, IA 52722 | METROPOLITIAN LIFE INSURANCE COMPANY | $4K | — | $4K | 5.42% |
| THOMAS C SCHUETZ3 Filed as: THOMAS C SHUETZ | 3066 VICTORIA STREET BETTENDORF, IA 52722 | METROPOLITIAN LIFE INSURANCE COMPANY | $111 | — | $111 | 0.16% |
| MUTUAL BENEFIT PLUS-BOR3 Filed as: MUTUAL BENEFIT PLUS- BOR | 4321 EAST 60TH STREET DAVENPORT, IA 52807 | EYEMED VISION CARE | $4K | — | $4K | 19.95% |
| SELECT NETWORKS3 | 317 6TH AVENUE DES MOINES, IA 50309 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 11.00% |
| MUTUALMED3 | 4321 EAST 60TH STREET DAVENPORT, IA 52807 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| SUSAN M PRAUL3 | 3461 29TH STREET BETTENDORF, IA 52722 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $1K | $77 | $1K | 7.21% |
| DONNA R WATSON3 | 876 TANGLEFOOT LANE BETTENDORF, IA 52722 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $283 | $15 | $298 | 1.44% |
| BRITNEY J GOODDING3 | 876 TANGLEFOOT LANE BETTENDORF, IA 52722 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $129 | — | $129 | 0.62% |
| KIM GERDES3 | 408 ROSCOE AVENUE MUSCATINE, IA 52761 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $87 | $15 | $102 | 0.49% |
| JOHN TUSETH3 | 5821 LOWRY DRIVE NORTHWEST ROCHESTER, MN 55901 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $102 | — | $102 | 0.49% |
| NANCY KINTZLE3 | 26201 212TH AVENUE DELHI, IA 52223 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $97 | — | $97 | 0.47% |
| MATTHEW J SCHNEIDER3 | 876 TANGLEFOOT LANE BETTENDORF, IA 52722 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $84 | — | $84 | 0.41% |
| MATTHEW D BUTLER3 | 123 CENTER PARK DRIVE SUITE 102 KNOXVILLE, TN 37922 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $83 | — | $83 | 0.40% |
| RIGGS COUNSELMAN MICHAELS & DOWNES3 Filed as: RIGGS INSURANCE INC | 465 NORTHLAND AVENUE NORTHEAST SUITE 201 CEDAR RAPIDS, IA 52402 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $73 | — | $73 | 0.35% |
| DONNA R WATSON3 Filed as: DONNA FREESE | 1122 WEST 59TH STREET DAVENPORT, IA 52806 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $72 | — | $72 | 0.35% |
| PETER J TEKAMPE3 | 3422 COLONY BAY DRIVE ROCKFORD, IL 61109 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $45 | — | $45 | 0.22% |
| KAE HUGHES3 | 1805 30TH STREET MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $35 | — | $35 | 0.17% |
| KACY A GRUENKEMEYER3 | 11116 AURORA AVENUE URBANDALE, IA 52223 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $18 | $15 | $33 | 0.16% |
| BRENT C STANKEE3 | PO BOX 203 WHEATLAND, IA 52777 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $28 | — | $28 | 0.14% |
| GERALD KIGHT3 | 3328 GREENFIELD ROAD BETTENDORF, IA 52722 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $23 | — | $23 | 0.11% |
| BARRY CAMPBELL3 | 2798 COUNTY ROAD 80 ALGER, OH 45812 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $20 | — | $20 | 0.10% |
| JEANNE T SCHWAB3 | 2655 MIDDLE ROAD DAVENPORT, IA 52803 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $19 | — | $19 | 0.09% |
| SHEILA W GERVASE3 | 2924 EAST 45TH COURT DAVENPORT, IA 52807 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $19 | — | $19 | 0.09% |
| JOHN A BISHOP3 | 517A WEST NORTH STREET PASS CHRISTIAN, MS 39571 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $19 | — | $19 | 0.09% |
| CATHY J OLIVER3 | 201 WEST BURNSVILLE PARKWAY SUITE 116 BURNSVILLE, MN 55337 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $19 | — | $19 | 0.09% |
| JOAN M SCHEER3 | PO BOX 342 LOWDEN, IA 52255 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $15 | — | $15 | 0.07% |
| ARTHUR V DEVOSS3 | 1905 WEST 40TH STREET APARTMENT 320 DAVENPORT, IA 52806 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $15 | — | $15 | 0.07% |
| ABIGAIL S PRAUL3 | 1851 MICHIGAN AVENUE NORTHEAST SAINT PETERSBURG, FL 33703 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $14 | — | $14 | 0.07% |
| GREGORY J SHARP3 | 702 EAST 5TH STREET COAL VALLEY, IL 61240 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $13 | — | $13 | 0.06% |
| CONSUMER SYSTEMS INC3 | PO BOX 9063 CEDAR RAPIDS, ID 52409 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $13 | — | $13 | 0.06% |
| RICHARD L STOCK3 | 400 NORTH MAIN STREET SUITE M205 DAVENPORT, IA 52801 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $13 | — | $13 | 0.06% |
| RICHARD R KIMBROUGH3 | 1972 MUIRFIELD WAY SOUTHEAST PALM BAY, FL 32909 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $12 | — | $12 | 0.06% |
| KOCH INSURANCE INC3 | 463 NORTHLAND AVENUE NORTHEAST SUITE 204 CEDAR RAPIDS, IA 52402 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $12 | — | $12 | 0.06% |
| LYNETTE R STEVENS3 | 490 EAST ROOSEVELT ROAD SUITE 203 WEST CHICAGO, IL 60185 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $8 | — | $8 | 0.04% |
| MITCHELL J MCCALL3 | 1620 WILLINGTON APARTMENT 203 BEAUMONT, TX 77706 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $6 | — | $6 | 0.03% |
| DANIEL P OCKENFELS3 | PO BOX 266 FAIRFAX, IA 52228 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $6 | — | $6 | 0.03% |
| GEORGE E MIDDLETON3 | 1702 SINGING PALM DRIVE APOPKA, FL 32712 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $6 | — | $6 | 0.03% |
| MICHAEL J MCCALL3 | 1620 WILLINGTON APARTMENT 1101 BEAUMONT, TX 77706 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $6 | — | $6 | 0.03% |
| MICHAEL E MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $5 | — | $5 | 0.02% |
| WILLIAM CLAY ARNOLD3 | 102 HOLLY COURT NATCHEZ, MS 39120 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $5 | — | $5 | 0.02% |
| JOSHUA J PARISE3 | 7325 JANES AVENUE WOODRIDGE, IL 60517 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $5 | — | $5 | 0.02% |
| RONALD L HOVICK3 | 2214 SOUTHWEST 43RD TERRACE CAPE CORAL, FL 33914 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $4 | — | $4 | 0.02% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $4 | — | $4 | 0.02% |
| MATTHEW SHANE STRONG3 | 4437 SOUNDSIDE DRIVE GULF BREEZE, FL 32563 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $4 | — | $4 | 0.02% |
| CHAD L NELSON3 Filed as: CHAD NELSON | 490 EAST ROOSEVELT ROAD SUITE 203 WEST CHICAGO, IL 60185 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $2 | — | $2 | 0.01% |
| WILLIAM A BRIGGS3 | 1731 GAY THOMPSON ROAD RAMER, TN 38367 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS (AFLAC) | $1 | — | $1 | 0.00% |
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 | 411 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 411 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts, 2 carriers) | EYEMED VISION CARE | 346 | $43K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 410 | $320K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 410 | $320K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 410 | $320K |
| Stop-loss / reinsurancereinsurance | UNITED HEALTHCARE INSURANCE COMPANY | 303 | $525K |
| Other(4 contracts, 4 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 428 | $429K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 428 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.