| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GROUP BENEFITS LTD3 Filed as: GROUP SERVICES INC | 3066 VICTORIA STREET BETTENDORF, IA 52722 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 3.12% |
| GROUP BENEFITS LTD3 Filed as: GROUP SERVICES INC | 3066 VICTORIA STREET BETTENFORF, IA 52722 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 4.56% |
| GROUP BENEFITS LTD3 Filed as: GROUP SERVICES INC | 3066 VICTORIA STREET BETTENDORF, IA 52722 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 8.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2 PIERCE PLACE FLOOR 14 ITASCA, IL 60143 | METROPOLITIAN LIFE INSURANCE COMPANY | $4K | $958 | $5K | 9.36% |
| GROUP BENEFITS LTD3 Filed as: GROUP SERVICES | 3066 VICTORIA STREET BETTENDORF, IA 52722 | METROPOLITIAN LIFE INSURANCE COMPANY | $3K | — | $3K | 5.44% |
| THOMAS C SCHUETZ3 Filed as: THOMAS C SHUETZ | 3066 VICTORIA STREET BETTENDORF, IA 52722 | METROPOLITIAN LIFE INSURANCE COMPANY | $66 | — | $66 | 0.12% |
| SUSAN M PRAUL3 | 3461 29TH STREET BETTENDORF, IA 52722 | AFLAC | $2K | — | $2K | 9.27% |
| DONNA R WATSON3 | 876 TANGLEGOOT LANE BETTENDORF, IA 52722 | AFLAC | $345 | — | $345 | 1.76% |
| MATTHEW J SCHNEIDER3 | 876 TANGLEFOOT LANE BETTENDORF, IA 52722 | AFLAC | $260 | — | $260 | 1.33% |
| BRITNEY J GOODDING3 | 876 TANGLEFOOT LANE BETTENDORF, IA 52722 | AFLAC | $108 | — | $108 | 0.55% |
| JOHN TUSETH3 | 5821 LOWRY DRIVE NORTHWEST ROCHESTER, MN 55901 | AFLAC | $85 | — | $85 | 0.43% |
| NANCY KINTZLE3 | 26201 212TH AVENUE DELHI, IA 52223 | AFLAC | $81 | — | $81 | 0.41% |
| MATTHEW D BUTLER3 | 123 CENTER PARK DRIVE SUITE 102 KNOXVILLE, TN 37922 | AFLAC | $68 | — | $68 | 0.35% |
| RIGGS COUNSELMAN MICHAELS & DOWNES3 Filed as: RIGGS INSURANCE INC | 465 NORTHLAND AVENUE NORTHEAST SUITE 201 CEDAR RAPIDS, IA 52402 | AFLAC | $61 | — | $61 | 0.31% |
| DONNA R WATSON3 Filed as: DONNA FREESE | 1632 ROBESON AVENUE BETTENDORF, IA 52722 | AFLAC | $47 | — | $47 | 0.24% |
| KIM GERDES3 | 2016 CEDAR PLAZA DRIVE SUITE 1 MUSCATINE, IA 52761 | AFLAC | $44 | — | $44 | 0.22% |
| ABIGAIL S PRAUL3 | 1851 MICHIGAN AVENUE NORTHEAST SAINT PETERSBURG, FL 33703 | AFLAC | $41 | — | $41 | 0.21% |
| PETER J TEKAMPE3 | 317 MARKET STREET SUITE 2 ROCKFORD, IL 61107 | AFLAC | $33 | — | $33 | 0.17% |
| KAE HUGHES3 | 1805 30TH STREET MOLINE, IL 61265 | AFLAC | $29 | — | $29 | 0.15% |
| BRENT C STANKEE3 | PO BOX 203 WHEATLAND, IA 52777 | AFLAC | $22 | — | $22 | 0.11% |
| MITCHELL J MCCALL3 | 1620 WELLINGTON PLACE APARTMENT 1101 BEAUMONT, TX 77706 | AFLAC | $21 | — | $21 | 0.11% |
| DONNA R WATSON3 Filed as: DONNA FREESE | 1122 WEST 59TH STREET DAVENPORT, IA 52806 | AFLAC | $20 | — | $20 | 0.10% |
| KIM GERDES3 | 408 ROSCOE AVENUE MUSCATINE, IA 52761 | AFLAC | $19 | — | $19 | 0.10% |
| SHEILA W GERVASE3 | 2924 EAST 45TH COURT DAVEPORT, IA 52807 | AFLAC | $16 | — | $16 | 0.08% |
| JOHN A BISHOP3 | 517A WEST NORTH STREET PASS CHRISTIAN, MS 39571 | AFLAC | $16 | — | $16 | 0.08% |
| JEANNE T SCHWAB3 | 2655 MIDDLE ROAD DAVENPORT, IA 52803 | AFLAC | $15 | — | $15 | 0.08% |
| BARRY CAMPBELL3 | 2798 COUNTY ROAD 80 ALGER, OH 45812 | AFLAC | $15 | — | $15 | 0.08% |
| CATHY J OLIVER3 | 201 WEST BURNSVILLE PARKWAY SUITE 116 BURNSVILLE, MN 55337 | AFLAC | $14 | — | $14 | 0.07% |
| RICHELL L STOCK3 | 400 NORTH MAIN STREET SUITE M205 DAVENPORT, IA 52801 | AFLAC | $13 | — | $13 | 0.07% |
| ARTHUR V DEVOSS3 | 1905 WEST 40TH STREET APARTMENT 320 DAVENPORT, IA 52806 | AFLAC | $12 | — | $12 | 0.06% |
| GREGORY J SHARP3 | 702 EAST 5TH STREET COAL VALLEY, IL 61240 | AFLAC | $11 | — | $11 | 0.06% |
| CONSUMER SYSTEMS INC3 | PO BOX 9063 CEDAR RAPIDS, IA 52409 | AFLAC | $11 | — | $11 | 0.06% |
| KOCH INSURANCE INC3 | 463 NORTHLAND AVENUE SUITE 04 CEDAR RAPIDS, IA 52402 | AFLAC | $10 | — | $10 | 0.05% |
| RICHARD R KIMBROUGH3 | 1972 MUIRFIELD WAY SOUTHEAST PALM BAY, FL 32909 | AFLAC | $9 | — | $9 | 0.05% |
| KACY A GRUENKEMEYER3 | 11116 AURORA AVENUE URBANDALE, IA 50322 | AFLAC | $6 | — | $6 | 0.03% |
| JOAN M SCHEER3 | PO BOX 342 LOWDEN, IA 52255 | AFLAC | $5 | — | $5 | 0.03% |
| DANIEL P OCKENFELS3 | PO BOX 266 FAIRFAX, IA 52228 | AFLAC | $5 | — | $5 | 0.03% |
| GEORGE E MIDDLETON3 | 1702 SINGING PALM DRIVE APOPKA, FL 32712 | AFLAC | $5 | — | $5 | 0.03% |
| MICHAEL E MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | AFLAC | $5 | — | $5 | 0.03% |
| WILLIAM CLAY ARNOLD3 | 102 HOLLY COURT NATCHEZ, MS 39120 | AFLAC | $4 | — | $4 | 0.02% |
| MITCHELL J MCCALL3 | 1620 WILLINGTON APARTMENT 1101 BEAUMONT, TX 77706 | AFLAC | $4 | — | $4 | 0.02% |
| JOSHUA J PARISE3 | 7325 JANES AVENUE WOODBRIDGE, IL 60517 | AFLAC | $4 | — | $4 | 0.02% |
| LYNETTE R STEVENS3 | 490 E ROOSEVELT ROAD SUITE 203 WEST CHICAGO, IL 60185 | AFLAC | $4 | — | $4 | 0.02% |
| RONALD L HOVICK3 | 2214 SOUTHWEST 43RD TERRACE CAPE CORAL, FL 33914 | AFLAC | $4 | — | $4 | 0.02% |
| PETER J TEKAMPE3 | 317 MARKET STREET ROCKFORD, IL 61107 | AFLAC | $4 | — | $4 | 0.02% |
| MATTHEW SHANE STRONG3 | 4437 SOUNDSIDE DRIVE GULF BREEZE, FL 32563 | AFLAC | $4 | — | $4 | 0.02% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | AFLAC | $3 | — | $3 | 0.02% |
| MITCHELL J MCCALL3 | 1355 NORTH BLUFF ROAD SUITE A COLLINSVILLE, IL 62234 | AFLAC | $3 | — | $3 | 0.02% |
| LYNETTE R STEVENS3 | 203 ASHWOOD DRIVE SYCAMORE, IL 60178 | AFLAC | $3 | — | $3 | 0.02% |
| CATHY J OLIVER3 | 201 WEST BURNSVILLE PARKWAY SUITE 116 BURNSVILLE, MN 55337 | AFLAC | $2 | — | $2 | 0.01% |
| SCOTT R FRITCHER3 | 9655 NORTHWEST 74TH PLACE GRIMES, IA 50111 | AFLAC | $1 | — | $1 | 0.01% |
| WILLIAM A BRIGGS3 | 1731 GAY THOMPSON ROAD RAMER, TN 38367 | AFLAC | $1 | — | $1 | 0.01% |
| HEATHER D SWANSON3 | 4608 67TH STREET URBANDALE, IA 50322 | AFLAC | $1 | — | $1 | 0.01% |
| CHAD L NESLON3 | 490 EAST ROOSEVELT ROAD SUITE 203 WEST CHICAGO, IL 60185 | AFLAC | $1 | — | $1 | 0.01% |
| CHAD L NELSON3 Filed as: CHAD NELSON | 490 EAST ROOSEVELT ROAD SUITE 203 WEST CHICAGO, IL 60185 | AFLAC | $1 | — | $1 | 0.01% |
| BERNARD J BRAZEAU3 | 6705 GRIMES STREET INDIANOLA, IA 50125 | AFLAC | $1 | — | $1 | 0.01% |
| AUSTIN J PETERSON3 | 11116 AURORA AVENUE URBANDALE, IA 50322 | AFLAC | $0 | — | $0 | 0.00% |
| JAMES L HAYES3 | 1449 MARILYN DRIVE NORTH LIBERTY, IA 52317 | AFLAC | $0 | — | $0 | 0.00% |
| STACEY LYN CASTELLANETA3 Filed as: STACEY SCHROCK | 3616 UNIVERSITY AVENUE APARTMENT 4 DES MOINES, IA 50311 | AFLAC | $0 | — | $0 | 0.00% |
| BRICE L CAMPBELL3 | 360 LIBERTY HEIGHTS DRIVE CHASKA, MN 55318 | AFLAC | $0 | — | $0 | 0.00% |
| JOELLE M BUELL3 | 13901 JAMES AVENUE SOUTH BURNSVILLE, MN 55337 | AFLAC | $0 | — | $0 | 0.00% |
| MARK L DUNN3 | 2734 NORTH RETIREMENT LANE APARTMENT C BOISE, ID 83704 | AFLAC | $0 | — | $0 | 0.00% |
| DENNIS J CASSENS3 | 4646 EAST MARRILL ROAD BYRON, IL 61010 | AFLAC | $0 | — | $0 | 0.00% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61548 | AFLAC | $0 | — | $0 | 0.00% |
| JACQUELYN KIMBROUGH3 | 1680 BURR OAKS DRIVE WEST DES MOINES, IA 50266 | AFLAC | $0 | — | $0 | 0.00% |
| ROBERT T GRIFFIN3 | 5133 CANTON HEIGHTS DRIVE JACKSON, MS 39211 | AFLAC | $0 | — | $0 | 0.00% |
| MUTUAL BENEFIT PLUS-BOR3 Filed as: MUTUAL BENEFIT PLUS- BOR | 3501 WEST ALGONQUIN ROAD SUITE 670 ROLLING MEADOWS, IL 60008 | EYEMED VISION CARE | $3K | — | $3K | 18.03% |
| 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% |
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 | 408 | 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) | 408 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts, 2 carriers) | EYEMED VISION CARE | 342 | $36K |
| Life insurance | STANDARD INSURANCE COMPANY | 401 | $136K |
| Short-term disability | STANDARD INSURANCE COMPANY | 401 | $73K |
| Long-term disability | STANDARD INSURANCE COMPANY | 150 | $56K |
| Stop-loss / reinsurancereinsurance | UNITED HEALTHCARE INSURANCE COMPANY | 293 | $521K |
| Other(4 contracts, 4 carriers) | STANDARD INSURANCE COMPANY | 434 | $229K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 434 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.