| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRUENORTH COMPANIES LC3 Filed as: TRUENORTH COMPANIES, L.C. | 500 1ST ST SE CEDAR RAPIDS, IA 52401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| TRUENORTH COMPANIES LC3 | 500 1ST ST SE CEDAR RAPIDS, IA 52401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 4.76% |
| TRUENORTH COMPANIES LC3 Filed as: TRUENORTH COMPANIES, L.C. | 500 1ST ST SE CEDAR RAPIDS, IA 52401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| TRUENORTH COMPANIES LC3 | 500 1ST ST SE CEDAR RAPIDS, IA 52401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 4.61% |
| TRUENORTH COMPANIES LC3 Filed as: TRUENORTH COMPANIES, L.C. | PO BOX 1863 CEDAR RAPIDS, IA 524061863 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 10.01% |
| TRUENORTH COMPANIES LC3 Filed as: TRUENORTH COMPANIES, L.C. | 500 1ST ST SE CEDAR RAPIDS, IA 52401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| TRUENORTH COMPANIES LC3 | 500 1ST ST SE CEDAR RAPIDS, IA 52401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $611 | $611 | 4.48% |
| TRUENORTH COMPANIES LC3 Filed as: TRUENORTH COMPANIES, L.C. | 500 1ST ST SE CEDAR RAPIDS, IA 52401 | ASSURITY LIFE INSURANCE COMPANY | $945 | — | $945 | 10.84% |
| RHONDA S PAPE3 | PO BOX 838 208 AUSTIN AVE MAQUOKETA, IA 52060 | ASSURITY LIFE INSURANCE COMPANY | $707 | — | $707 | 8.11% |
| COLE PAPE3 Filed as: COLE M PAPE | 115 E PLATT ST MAQUOKETA, IA 52060 | ASSURITY LIFE INSURANCE COMPANY | $354 | — | $354 | 4.06% |
| DANE ALAN PAPE3 | 115 E PLATT ST MAQUOKETA, IA 52060 | ASSURITY LIFE INSURANCE COMPANY | $354 | — | $354 | 4.06% |
| SUPPLEMENTAL INS SVCS INC3 Filed as: SUPPLEMENTAL INSURANCE SERVICES | — | U.S. LEGAL SERVICES OF WISCONSIN, INC. | $749 | — | $749 | 8.64% |
| TRUENORTH COMPANIES LC3 Filed as: TRUENORTH COMPANIES, L.C. | 500 1ST ST SE CEDAR RAPIDS, IA 52401 | U.S. LEGAL SERVICES OF WISCONSIN, INC. | $499 | — | $499 | 5.76% |
| AON CONSULTING INC3 Filed as: ALLSTATE BENEFITS | — | U.S. LEGAL SERVICES OF WISCONSIN, INC. | $434 | — | $434 | 5.01% |
| TRUENORTH COMPANIES LC3 Filed as: TRUENORTH COMPANIES, L.C. | 500 1ST ST SE CEDAR RAPIDS, IA 52401 | ASSURITY LIFE INSURANCE COMPANY | $596 | — | $596 | 12.44% |
| RHONDA S PAPE3 | PO BOX 838 208 AUSTIN AVE MAQUOKETA, IA 52060 | ASSURITY LIFE INSURANCE COMPANY | $446 | — | $446 | 9.31% |
| COLE PAPE3 Filed as: COLE M PAPE | 115 E PLATT ST MAQUOKETA, IA 52060 | ASSURITY LIFE INSURANCE COMPANY | $223 | — | $223 | 4.65% |
| DANE ALAN PAPE3 | 115 E PLATT ST MAQUOKETA, IA 52060 | ASSURITY LIFE INSURANCE COMPANY | $223 | — | $223 | 4.65% |
| TRUENORTH COMPANIES LC3 Filed as: TRUENORTH COMPANIES, L.C. | 500 1ST ST SE CEDAR RAPIDS, IA 52401 | ASSURITY LIFE INSURANCE COMPANY | $992 | — | $992 | 23.41% |
| RHONDA S PAPE3 | PO BOX 838 208 AUSTIN AVE MAQUOKETA, IA 52060 | ASSURITY LIFE INSURANCE COMPANY | $743 | — | $743 | 17.54% |
| COLE PAPE3 Filed as: COLE M PAPE | 115 E PLATT ST MAQUOKETA, IA 52060 | ASSURITY LIFE INSURANCE COMPANY | $371 | — | $371 | 8.76% |
| DANE ALAN PAPE3 | 115 E PLATT ST MAQUOKETA, IA 52060 | ASSURITY LIFE INSURANCE COMPANY | $371 | — | $371 | 8.76% |
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 | 203 | 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) | 203 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | 84 | $965K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 225 | $15K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 84 | $24K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 53 | $23K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 41 | $14K |
| Other(7 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 84 | $87K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 225 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.