| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: WELLMARK BLUE CROSS AND BLUE SHIELD | 1331 GRAND AVENUE PO BOX 9232 DES MOINES, IA 503069232 | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | $25K | — | $25K | 2.93% |
| TRUENORTH COMPANIES LC3 Filed as: TRUENORTH COMPANIES LLC | PO BOX 1863 CEDAR RAPIDS, IA 524061863 | DELTA DENTAL OF IOWA | $4K | $628 | $4K | 5.21% |
| TRUENORTH COMPANIES LC3 Filed as: TRUENORTH COMPANIES, L.C. | P O BOX 1863 CEDAR RAPIDS, IA 52406 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | 10.62% |
| UNITED BENEFITS ADVISORS INC3 | 10 WUNSHINE LN RED LION, PA 17356 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $128 | $128 | 0.31% |
| TRUE NORTH COMPANIES LC3 Filed as: TRUE NORTH COMPANIES, L.C. | PO BOX 1863 CEDAR RAPIDS, IA 524061863 | VISION SERVICE PLAN | $3K | — | $3K | 9.14% |
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 | 150 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 150 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | 140 | $841K |
| Dental | DELTA DENTAL OF IOWA | 150 | $86K |
| Vision | VISION SERVICE PLAN | 137 | $30K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 234 | $42K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 234 | $42K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 234 | $42K |
| Prescription drug | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | 140 | $841K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 234 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 234 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.