| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: WELLMARK BLUE CROSS AND BLUE SHIELD | — | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | $0 | $0 | $0 | 0.00% |
| ACRISURE LLC3 Filed as: ACISURE DBA BPM EMPLOYEE | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | DELTA DENTAL OF IOWA | $15K | — | $15K | 6.49% |
| TFB GROUP SERVICES LLC3 Filed as: TFB GROUP SERVICES | 4801 W 110TH STREET SUITE 200 OVERLAND PARK, KS 66211 | DELTA DENTAL OF IOWA | $5K | $5K | $10K | 4.49% |
| TFB GROUP SERVICES LLC3 | CORPORATE OFFICE 4801 W 110TH ST STE 200 OVERLAND PARK, KS 66211 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $9K | $14K | 8.48% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | $888 | $9K | 5.31% |
| GA SOLUTIONS LLC3 Filed as: GA SOLUTIONS | 311 CLOCK TOWER CMNS BREWSTER, NY 10509 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | — | $8K | 4.94% |
| ACRISURE LLC3 Filed as: ACRISURE | 12900 METCALF AVE STE 200 OVERLAND PARK, KS 66213 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 8.33% |
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 | 713 | 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) | 713 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS BLUE SHIELD OF IOWA | 208 | $2.4M |
| Dental | DELTA DENTAL OF IOWA | 216 | $225K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 713 | $44K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 714 | $170K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 714 | $170K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 714 | $170K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 714 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.