| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MID-AMERICA GROUP SERVICES INC3 Filed as: MID-AMERICA GROUP SERVICES, INC | 921 PIERCE ST SIOUX CITY, IA 511011031 | MET LIFE INSURANCE COMPANY | $6K | — | $6K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MID-AMERICA GROUP SERVICES, INC. EIN 46-0507533 NONE | Claims processing Service code 12 | 921 NEBRASKA PO BOX 3672 SIOUX CITY, IA 51102 | $158K |
| HENJES, CONNER & WILLIAMS, P.C. EIN 48-1292483 NONE | Accounting (including auditing) Service code 10 | PO BOX 1937 DAKOTA DUNES, SD 57049 | $10K |
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 | 442 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 444 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS BLUE SHIELD | 444 | $7.1M |
| Life insurance | MET LIFE INSURANCE COMPANY | 1,224 | $124K |
| Other | MET LIFE INSURANCE COMPANY | 1,224 | $124K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,224 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.