| 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 | $5K | — | $5K | 2.83% |
| NATIONAL BENEFIT CENTER3 Filed as: NATIONAL BENEFIT CENTER LLC | 683 COCHRAN ROAD SOLON, OH 44139 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 1.55% |
| GROUP BENEFITS LTD3 Filed as: GROUP SERVICES INC | 3066 VICTORIA STREET BETTENFORF, IA 52722 | STANDARD INSURANCE COMPANY | $4K | — | $4K | 4.08% |
| NATIONAL BENEFIT CENTER3 Filed as: NATIONAL BENEFIT CENTER LLC | 6830 COCHRAN ROAD SOLON, OH 44139 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 1.43% |
| GROUP BENEFITS LTD3 Filed as: GROUP SERVICES INC | 3066 VICTORIA STREET BETTENDORF, IA 52722 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 7.49% |
| NATIONAL BENEFIT CENTER3 Filed as: NATIONAL BENEFIT CENTER LLC | 6830 COCHRAN ROAD SOLON, OH 44139 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 1.72% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | METROPOLITIAN LIFE INSURANCE COMPANY | $4K | — | $4K | 6.51% |
| GROUP BENEFITS LTD3 Filed as: GROUP SERVICES LLC | 3066 VICTORIA STREET BETTENDORF, IA 52722 | METROPOLITIAN LIFE INSURANCE COMPANY | $3K | — | $3K | 5.42% |
| THOMAS C SCHUETZ3 | 3066 VICTORIA STREET BETTENDORF, IA 52722 | METROPOLITIAN LIFE INSURANCE COMPANY | $40 | — | $40 | 0.07% |
| MUTUAL BENEFIT PLUS-BOR3 | 3501 WEST ALGONQUIN ROAD SUITE 670 ROLLING MEADOWS, IL 60008 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 6.66% |
| LOUIS INDOVINA-BOR3 | 3501 ALGONQUIN ROAD SUITE 670 ROLLING MEADOWS, IL 60008 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 4.40% |
| ARLINGTON PARTNERS LLC3 Filed as: ARLINGTON PARTNERS, LLC | 3501 ALGONQUIN ROAD SUITE 670 ROLLING MEADOWS, IL 60008 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 4.37% |
| VARNEY & COMPANY BENEFITS ADVISORS3 Filed as: MUTUAL BENEFIT PLUS-BOR-USE 2018799 | 3501 WEST ALGONQUIN ROAD SUITE 670 ROLLING MEADOWS, IL 60008 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $25 | — | $25 | 0.08% |
| SELECT NETWORKS3 | 317 6TH AVENUE DES MOINES, IA 50309 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 10.21% |
| MUTUAL MED INSURANCE SERVICES3 Filed as: MUTUAL MED | 4321 EAST 60TH STREET DAVENPORT, IA 52807 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 9.28% |
| SUSAN M PRAUL3 | 3461 29TH STREET BETTENDORF, IA 52722 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1K | $16 | $1K | 5.72% |
| DONNA R WATSON3 | 876 TANGLEFOOT LANE BETTENDORF, IA 52722 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $285 | $3 | $288 | 1.29% |
| MATTHEW J SCHNEIDER3 | 876 TANGLEFOOT LANE BETTENDORF, IA 52722 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $183 | $3 | $186 | 0.83% |
| JOHN TUSETH3 | 5821 LOWRY DRIVE NW ROCHESTER, MN 55901 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $102 | — | $102 | 0.46% |
| DONNA R WATSON3 Filed as: DONNA FREESE | 1122 WEST 59TH STREET DAVENPORT, IA 52806 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $81 | — | $81 | 0.36% |
| ABIGAIL S PRAUL3 | 1851 MICHIGAN AVENUE NE SAINT PETERSBURG, FL 33703 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $80 | — | $80 | 0.36% |
| BRITNEY J GOODDING3 | 876 TANGLEFOOT LANE BETTENDORF, IA 52722 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $75 | — | $75 | 0.34% |
| MATTHEW D BUTLER3 | 123 CENTER PARK DRIVE SUITE 102 KNOXVILLE, TN 37922 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $75 | — | $75 | 0.34% |
| RIGGS COUNSELMAN MICHAELS & DOWNES3 Filed as: RIGGS INSURANCE INC. | 465 NORTHLAND AVENUE NE SUITE 201 CEDAR RAPIDS, IA 52402 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $73 | — | $73 | 0.33% |
| NANCY KINTZLE3 | 26201 212TH AVENUE DELHI, IA 52223 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $67 | — | $67 | 0.30% |
| BRITNEY J GOODDING3 | 1716 SOUTH 9TH AVENUE ELDRIDGE, IA 52748 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $54 | — | $54 | 0.24% |
| KIM GERDES3 | 2510 112TH STREET MOSCOW, IA 52760 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $43 | — | $43 | 0.19% |
| PETER J TEKAMPE3 | 317 MARKET STREET SUITE 2 ROCKFORD, IL 61107 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $37 | — | $37 | 0.17% |
| KAE HUGHES3 | 1805 30TH STREET MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $34 | — | $34 | 0.15% |
| MITCHELL J MCCALL3 | 1355 NORTH BLUFF ROAD SUITE A COLLINSVILLE, IL 62234 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $30 | — | $30 | 0.13% |
| STEVEN L. SWANSON3 Filed as: STEVEN L SWANSON | 1523 47TH AVENUE SUITE 3 MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $27 | — | $27 | 0.12% |
| TINA M LASSUY3 | 3021 45TH STREET MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $25 | — | $25 | 0.11% |
| KIM GERDES3 | 2016 CEDAR PLAZA DRIVE SUITE 1 MUSCATINE, IA 52761 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $23 | — | $23 | 0.10% |
| KOCH INSURANCE INC3 | 463 NORTHLAND AVENUE NE SUITE 204 CEDAR RAPIDS, IA 52402 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $20 | — | $20 | 0.09% |
| BRENT C STANKEE3 | PO BOX 203 WHEATLAND, IA 52777 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $20 | — | $20 | 0.09% |
| SHEILA W GERVASE3 | 2924 EAST 45TH COURT DAVENPORT, IA 52807 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $19 | — | $19 | 0.09% |
| JOHN A BISHOP3 | 517A WEST NORTH STREET PASS CHRISTIAN, MS 39571 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $19 | — | $19 | 0.09% |
| CATHY J OLIVER3 | 14795 BOISE CIRCLE ROSEMOUNT, MN 55068 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $19 | — | $19 | 0.09% |
| BARRY CAMPBELL3 | 2798 COUNTY ROAD 80 ALGER, OH 45812 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $17 | — | $17 | 0.08% |
| ARTHUR V DEVOSS3 | 1905 WEST 40TH STREET APT 320 DAVENPORT, IA 52806 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $15 | — | $15 | 0.07% |
| SCOTT R FRITCHER3 | 3511 131ST STREET URBANDALE, IA 50323 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $14 | — | $14 | 0.06% |
| JEANNE T SCHWAB3 | 2655 MIDDLE ROAD DAVENPORT, IA 52803 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $13 | — | $13 | 0.06% |
| GREGORY J SHARP3 | 702 EAST 5TH STREET COAL VALLEY, IL 61240 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $13 | — | $13 | 0.06% |
| CONSUMER SYSTEMS INC3 Filed as: CONSUMER SYSTEMS INC. | PO BOX 9063 CEDAR RAPIDS, IA 52409 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $13 | — | $13 | 0.06% |
| SUSAN KALM3 | 1108 COUNTRY CLUB DRIVE SOUTHEAST MOUNT VERNON, IA 52314 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $13 | — | $13 | 0.06% |
| CHRISTOPHER J BAYER3 | 1416 NORTH BROAD STREET GALESBURG, IL 61401 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | — | $10 | 0.04% |
| MELISSA A HENSTORF3 | 526 HARRISON STREET VICTOR, IA 52347 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $10 | — | $10 | 0.04% |
| RICHELL L STOCK3 | 2219 WEST CENTRAL PARK AVENUE DAVENPORT, IA 52804 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $9 | — | $9 | 0.04% |
| RICHARD R KIMBROUGH3 | 1972 MUIRFIELD WAY SOUTHEAST PALM BAY, FL 32909 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $9 | — | $9 | 0.04% |
| HEATHER D SWANSON3 | 4517 49TH PLACE DES MOINES, IA 50310 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $8 | — | $8 | 0.04% |
| BERNARD J BRAZEAU3 | 6705 GRIMES STREET INDIANOLA, IA 50125 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $8 | — | $8 | 0.04% |
| LYNETTE R STEVENS3 | 203 ASHWOOD DRIVE SYCAMORE, IL 60178 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $8 | — | $8 | 0.04% |
| MIRANDA LYNN KOCH3 | PO BOX 15 5966 MAIN STREET TROY MILLS, IA 52344 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $8 | — | $8 | 0.04% |
| PETER J TEKAMPE3 | 815 NORTH CHURCH STREET ROCKFORD, IL 61103 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $7 | — | $7 | 0.03% |
| RONALD L HOVICK3 | 2214 SOUTHWEST 43RD TERRACE CAPE CORAL, FL 33914 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $7 | — | $7 | 0.03% |
| KIMBERLY A AIKINS3 | 606 19TH STREET MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $7 | — | $7 | 0.03% |
| RICHELL L STOCK3 | 400 NORTH MAIN STREET SUITE M205 DAVENPORT, IA 52801 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $7 | — | $7 | 0.03% |
| KACY A GRUENKEMEYER3 | 5530 WEST PARKWAY SUITE 100 JOHNSTON, IA 50131 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $6 | — | $6 | 0.03% |
| DANIEL P OCKENFELS3 | 9300 WRIGHT BROTHERS BOULEVARD SW FAIRFAX, IA 52228 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $6 | — | $6 | 0.03% |
| MICHAEL E MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | 0.02% |
| WILLIAM CLAY ARNOLD3 | 102 HOLLY COURT NATCHEZ, MS 39120 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | 0.02% |
| JOAN M SCHEER3 | PO BOX 342 LOWDEN, IA 52255 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | 0.02% |
| JOSHUA J PARISE3 | 7325 JANES AVENUE WOODRIDGE, IL 60517 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | 0.02% |
| THE TODD GROUP3 | 602 MAIN STREET SUITE 200 CEDAR FALLS, IA 50613 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | 0.02% |
| HEATHER D SWANSON3 | 4608 67TH STREET URBANDALE, IA 50322 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | 0.02% |
| ALAN W MARTIN3 | 12524 MALLARD BAY DRIVE KNOXVILLE, TN 37922 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | 0.02% |
| AUSTIN J PETERSON3 | 11116 AURORA AVENUE URBANDALE, IA 50322 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | 0.02% |
| TRAVIS COCKBURN3 Filed as: TRAVIS J COCKBURN | 402 NORTH MAIN STREET BENTON, IL 62812 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | — | $3 | 0.01% |
| KIMBERLY DEWINTER3 Filed as: KIMBERLY A DEWINTER | 1523 47TH AVENUE SUITE 3 MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | — | $3 | 0.01% |
| MATTHEW SHANE STRONG3 | 5628 SKINNER DRIVE APOLLO BEACH, FL 33572 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | — | $3 | 0.01% |
| MATTHEW SHANE STRONG3 | 4437 SOUNDSIDE DRIVE GULF BREEZE, FL 32563 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| WILLIAM A BRIGGS3 | 1731 GAY THOMPSON ROAD RAMER, TN 38367 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| STACEY LYN CASTELLANETA3 Filed as: STACEY SCHROCK | 3616 UNIVERSITY AVENUE APARTMENT 4 DES MOINES, IA 50311 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| CHAD L NELSON3 | 5266 NORTH KUFALK LANE BYRON, IL 61010 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| BRICE L CAMPBELL3 | 360 LIBERTY HEIGHTS DRIVE CHASKA, MN 55318 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| JOELLE M BUELL3 | 13901 JAMES AVENUE SOUTH BURNSVILLE, MN 55337 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| MARK L DUNN3 | 2734 NORTH RETIREMENT LANE APARTMENT C BOISE, ID 83704 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| CHAD L NELSON3 | 490 EAST ROOSEVELT ROAD SUITE 203 WEST CHICAGO, IL 60185 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| JAMES L HAYES3 | 1449 MARILYN DRIVE NORTH LIBERTY, IA 52317 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| DENNIS J CASSENS3 | 4646 EAST MARRILL ROAD BYRON, IL 61010 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| STEPHEN KELLS3 | 514 MAYFAIR COURT GERMANTOWN HILLS, IL 61548 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| JASON HOFFARD3 | 3415 OFFICE PARK DRIVE SUITE C MARION, IL 62959 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | 0.00% |
| MARTHA MONCKTON3 | 2411 EAST GRANDVIEW AVENUE PEORIA, IL 61614 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $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 | 604 | 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) | 604 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 420 | $60K |
| Life insurance | STANDARD INSURANCE COMPANY | 565 | $164K |
| Short-term disability | STANDARD INSURANCE COMPANY | 563 | $96K |
| Long-term disability(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 210 | $120K |
| Prescription drug | CVS WI RX | 686 | $857K |
| Stop-loss / reinsurancereinsurance | HIGHMARK LIFE & CASUALTY GROUP | 397 | $713K |
| Other(4 contracts, 4 carriers) | STANDARD INSURANCE COMPANY | 604 | $269K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 686 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.