| 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 | $6K | — | $6K | 3.19% |
| NATIONAL BENEFIT CENTER3 Filed as: NATIONAL BENEFIT CENTER LLC | 683 COCHRAN ROAD SOLON, OH 44139 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 0.87% |
| GROUP BENEFITS LTD3 Filed as: GROUP SERVICES INC | 3066 VICTORIA STREET BETTENFORF, IA 52722 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 4.26% |
| NATIONAL BENEFIT CENTER3 Filed as: NATIONAL BENEFIT CENTER LLC | 6830 COCHRAN ROAD SOLON, OH 44139 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 0.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | METROPOLITIAN LIFE INSURANCE COMPANY | $4K | $2K | $6K | 9.48% |
| GROUP BENEFITS LTD3 Filed as: GROUP SERVICES LLC | 3066 VICTORIA STREET BETTENDORF, IA 52722 | METROPOLITIAN LIFE INSURANCE COMPANY | $2K | — | $2K | 3.69% |
| THOMAS C SCHUETZ3 | 3066 VICTORIA STREET BETTENDORF, IA 52722 | METROPOLITIAN LIFE INSURANCE COMPANY | $43 | — | $43 | 0.07% |
| ARLINGTON PARTNERS LLC3 | 3501 ALGONQUIN ROAD STE 670 ROLLING MEADOWS, IL 60008 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $6K | — | $6K | 20.70% |
| VARNEY & COMPANY BENEFITS ADVISORS3 Filed as: MUTUAL BENEFITS PLUS - BOR USE 2018 | 3501 WEST ALGONQUIN ROAD STE 670 ROLLING MEADOWS, IL 60008 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $362 | — | $362 | 1.16% |
| SELECT NETWORKS3 | 317 6TH AVENUE DES MOINES, IA 50309 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 11.78% |
| MUTUAL MED INSURANCE SERVICES3 Filed as: MUTUAL MED | 4321 EAST 60TH STREET DAVENPORT, IA 52807 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 10.70% |
| GROUP BENEFITS LTD3 Filed as: GROUP SERVICES INC | 3066 VICTORIA STREET BETTENDORF, IA 52722 | STANDARD INSURANCE COMPANY | $5K | — | $5K | 112.79% |
| NATIONAL BENEFIT CENTER3 Filed as: NATIONAL BENEFIT CENTER LLC | 6830 COCHRAN ROAD SOLON, OH 44139 | STANDARD INSURANCE COMPANY | $625 | — | $625 | 13.46% |
| SUSAN M PRAUL3 | 3461 29TH STREET BETTENDORF, IA 52722 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1K | — | $1K | — |
| DONNA R WATSON3 | 1225 E RIVER DR SUITE 315 DAVENPORT, IA 52803 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $274 | — | $274 | — |
| BRITNEY J GOODDING3 | 1716 S 9TH AVE ELDRIDGE, IA 52748 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $140 | — | $140 | — |
| JOHN TUSETH3 | 5821 LOWRY DRIVE NW ROCHESTER, MN 55901 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $102 | — | $102 | — |
| DONNA R WATSON3 Filed as: DONNA FREESE | 1122 WEST 59TH STREET DAVENPORT, IA 52806 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $88 | — | $88 | — |
| ABIGAIL S PRAUL3 | 1851 MICHIGAN AVENUE NE SAINT PETERSBURG, FL 33703 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $87 | — | $87 | — |
| MATTHEW J SCHNEIDER3 | 1125 E RIVER DRIVE DAVENPORT, IA 52803 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $81 | — | $81 | — |
| 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 | $80 | — | $80 | — |
| MATTHEW D BUTLER3 Filed as: MATTHEW BUTLER | 123 CENTER PARK DRIVE SUITE 201 KNOXVILLE, TN 37922 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $79 | — | $79 | — |
| KIM GERDES3 | 2510 112TH ST SUITE 102 MOSCOW, IA 52760 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $71 | — | $71 | — |
| NANCY KINTZLE3 | 26201 212TH AVENUE DELHI, IA 52223 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $69 | — | $69 | — |
| MATTHEW J SCHNEIDER3 Filed as: MATTHEW SCHNEIDER | 1225 E RIVER DR SUITE 307 DAVENPORT, IA 52803 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $67 | — | $67 | — |
| PETER J TEKAMPE3 | 815 N CHURCH ST SUITE 2 ROCKFORD, IL 61103 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $48 | — | $48 | — |
| KAE HUGHES3 | 1805 30TH STREET MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $39 | — | $39 | — |
| MITCHELL J MCCALL3 | 3 STONERIDGE DR SUITE A KEOKUK, IA 52632 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $32 | — | $32 | — |
| TINA M LASSUY3 | 3021 45TH STREET MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $32 | — | $32 | — |
| STEVEN L. SWANSON3 Filed as: STEVEN L SWANSON | 1523 47TH AVENUE SUITE 3 MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $29 | — | $29 | — |
| SHIELA W GERVASE3 | 2924 E 45TH COURT DAVENPORT, IA 52807 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $21 | — | $21 | — |
| JOHN A BISHOP3 | 517A NORTH ST PASS CHRISTIAN, MS 39571 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $21 | — | $21 | — |
| CATHY J OLIVER3 | 14795 BOISE CIR ROSEMOUNT, MN 55068 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $21 | — | $21 | — |
| BARRY CAMPBELL3 | 2798 COUNTY ROAD 80 ALGER, OH 45812 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $19 | — | $19 | — |
| BRENT C STANKEE3 | PO BOX 203 WHEATLAND, IA 52777 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $17 | — | $17 | — |
| JOAN M SCHEER3 | PO BOX 342 LOWDEN, IA 52255 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $16 | — | $16 | — |
| SCOTT R FRITCHER3 | 311 131ST ST URBANDALE, IA 50323 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $15 | — | $15 | — |
| GREGORY J SHARP3 | 702 E 5TH STREET COAL VALLEY, IL 61240 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $14 | — | $14 | — |
| RICHELL L STOCK3 | 9365 190TH ST DAVENPORT, IA 52804 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $14 | — | $14 | — |
| CONSUMER SYSTEMS INC3 | 276 PEACE AVE NW CEDAR RAPIDS, IA 52405 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $14 | — | $14 | — |
| HEATHER D SWANSON3 | 4517 49TH PL DES MOINES, IA 50310 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $13 | — | $13 | — |
| CHRISTOPHER J BAYER3 | 1416 NORTH BROAD STREET GALESBURG, IL 61401 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $12 | — | $12 | — |
| JEANNE T SCHWAB3 | 2655 MIDDLE RD DAVENPORT, IA 52803 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $12 | — | $12 | — |
| AUTHUR V DEVOSS3 | 1905 W 40TH ST APT 320 DAVENPORT, IA 52806 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $12 | — | $12 | — |
| RICHARD R KIMBROUGH3 | 1972 MUIRFIELD WAY SOUTHEAST PALM BAY, FL 32909 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $9 | — | $9 | — |
| JOHN TUSETH3 | 5821 LOWRY DRIVE NW ROCHESTER, NC 50310 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $9 | — | $9 | — |
| LYNETTE R STEVENS3 | 203 ASHWOOD DR SYCAMORE, IL 60178 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $8 | — | $8 | — |
| LYNETTE R STEVENS3 | 203 ASHWOOD DRIVE SYCAMORE, IL 60178 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $8 | — | $8 | — |
| BERNARD J BRAZEAU3 | 6705 GRIMES 5966 MAIN STREET TROY MILLS, IA 52344 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $8 | — | $8 | — |
| KACY A GRUENKEMEYER3 | 177 RICHLAND HILLS DR MANCHESTER, TX 37355 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $7 | — | $7 | — |
| DANIEL P OCKENFELS3 | 9300 WRIGHT BROTHERS BLVD SW FAIRFAX, IA 52228 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $6 | — | $6 | — |
| MICHAEL E MCCARTHY3 | PO BOX 1047 DUNDEE, IL 60118 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $6 | — | $6 | — |
| RONALD L HOVICK3 | 2214 SW 43RD TER CAPE CORAL, FL 33914 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $6 | — | $6 | — |
| WILLIAM CLAY ARNOLD3 | 102 HOLLY CT NATCHEZ, MS 39120 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | — |
| JOSHUA J PARISE3 | 7325 JANES AVE WOODRIDGE, IL 60517 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | — |
| STEVEN L. SWANSON3 Filed as: STEVEN L SWANSON | 606 19TH ST SUITE 2 MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | — |
| MELISSA A HENSTORF3 | 526 HARRISON ST VICTOR, IA 52347 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | — |
| MATTHEW SHANE STRONG3 | 5628 SKINNER DR APOLLO BEACH, FL 33572 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $5 | — | $5 | — |
| KOCH INSURANCE INC3 | 463 NORTHLAND AVE NE SUITE 204 CEDAR RAPIDS, IA 52402 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | — |
| TRAVIS COCKBURN3 Filed as: TRAVIS J COCKBURN | 402 N MAIN ST BENTON, IL 62812 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | — |
| SUSAN KALM3 | 1108 COUNTRY CLUB DR SE MOUNT VERNON, IA 52314 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | — |
| ALAN W MARTIN3 | 12524 MALLARD BAY DR KNOXVILLE, TN 37922 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | — |
| AUSTIN J PETERSON3 | 11116 AURORA AVE URBANDALE, IA 50322 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | — |
| MIRANDA LYNN KOCH3 | PO BOX 15 5966 MAIN ST TROY MILLS, IA 52344 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | — |
| KIMBERLY DEWINTER3 Filed as: KIMBERLY A DEWINTER | 1523 47TH AVENUE SUITE 3 MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $4 | — | $4 | — |
| MICHELLE SMITH3 | 463 NORTHLAND AVE NE SUITE 204 CEDAR RAPIDS, IA 52402 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $3 | — | $3 | — |
| THE TODD GROUP3 | 602 MAIN ST SUITE 200 CEDAR FALLS, IA 50613 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | — | $2 | — |
| CHAD L NELSON3 | 5266 N KUFALK LN BYRON, IL 61010 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | — | $2 | — |
| KIMBERLY A AIKINS3 | 606 19TH STREET MOLINE, IL 61265 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | — | $2 | — |
| CHAD L NELSON3 | 5266 NORTH KUFALK LANE BYRON, IL 61010 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | — | $2 | — |
| RONALD L HOVICK3 | 2214 SW 43RD TERR CAPE CORAL, FL 33914 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $2 | — | $2 | — |
| WILLIAM A BRIGGS3 | 1731 GAY THOMPSON RD RAMER, TN 38367 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | — |
| STACEY LYN CASTELLANETA3 Filed as: STACEY SCHROCK | 3616 UNIVERSITY AVE APT 4 DES MOINES, IA 50311 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | — |
| BRICE L CAMPBELL3 | 360 LIBERTY HEIGHTS DR CHASKA, MN 55318 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | — |
| JOELLE M BUELL3 | 13901 JAMES AVE S BURNSVILLE, MN 55337 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | — |
| MARK L DUNN3 | 2734 N RETIREMENT LN APT C BOISE, ID 83704 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | — |
| DENNIS J CASSENS3 | 4646 E MARRILL RD BYRON, IL 61010 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | — |
| JAMES L HAYES3 | 1449 MARILYN DR SUITE C NORTH LIBERTY, IA 52317 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | — |
| MARTHA MONCKTON3 | 2411 EAST GRANDVIEW AVENUE PEORIA, IL 61614 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | — |
| STEPHEN KELLS3 | 514 MAYFAIR CT GERMANTOWN HILLS, IL 61548 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | — |
| JACQUELYN KIMBROUGH3 | 1680 BURR OAKS DR WEST DES MOINES, IA 50266 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | — |
| ROBERT T GRIFFIN3 | 5133 CANTON HEIGHTS DR JACKSON, MA 39211 | AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS | $1 | — | $1 | — |
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 | 780 | 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) | 780 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision(2 contracts) | FIDELITY SECURITY LIFE INSURANCE COMPANY | 550 | $59K |
| Life insurance | STANDARD INSURANCE COMPANY | 644 | $196K |
| Short-term disability | STANDARD INSURANCE COMPANY | 642 | $114K |
| Long-term disability(2 contracts, 2 carriers) | METROPOLITIAN LIFE INSURANCE COMPANY | 260 | $66K |
| Prescription drug | CVS WI RX | 0 | $4K |
| Stop-loss / reinsurancereinsurance | HIGHMARK LIFE & CASUALTY GROUP | 466 | $720 |
| Other(5 contracts, 5 carriers) | STANDARD INSURANCE COMPANY | 756 | $262K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 756 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.