| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFIT SOURCE INC | 4000 WESTOWN PKWY SUITE 110 WEST DES MOINES, IA 50266 | WELLMARK, INC WELLMARK HEALTH PLAN OF IOWA | $23K | — | $23K | 2.66% |
| BENEFIT SOURCE INC3 Filed as: BENEFIT SOURCE, INC | 4000 WESTOEN PKWY SUITE 110 WEST DES MOINES, IA 50266 | WELLMARK INC WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | $3K | — | $3K | 2.19% |
| BENEFIT SOURCE INC3 | 4000 WESTOWN PKWY SUITE 110 WEST DES MOINES, IA 502666705 | PRINCIPAL LIFE INSURANCE COMPANY | $9K | — | $9K | 12.44% |
| BENEFIT SOURCE INC3 Filed as: BENEFIT SOURCE, INC. | 4000 WESTOWN PKWY, SUITE 204 WEST DES MOINES, IA 50266 | DELTA DENTAL OF IOWA | $3K | $674 | $3K | — |
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 | 74 | 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) | 74 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | WELLMARK, INC WELLMARK HEALTH PLAN OF IOWA | 124 | $983K |
| Dental | DELTA DENTAL OF IOWA | 124 | $0 |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 74 | $75K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 74 | $75K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 74 | $75K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 74 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 124 | — |
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."
No prospect flags tripped on this filing.