Filings through .
History & trajectory Charts need 2 or more years. This plan has 6 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingThe top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Pedersen Dowie Clabby & McCaus Health | Health | |
Broker: Pedersen Dowie Clabby DentalVisionLifeLTDOther | DentalVisionLifeLTDOther |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 2 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 542 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 542 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK HEALTH PLAN OF IOWA, INC. | 286 | $2.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 692 | $316K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 692 | $316K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 692 | $316K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 692 | $316K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 692 | $316K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 692 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Wellmark Health Plan of Iowa, Inc. | |
Carrier: Wellmark Health Plan of Iowa, Inc. | |
Carrier: Metropolitan Life Insurance Company | |
Carrier: Metropolitan Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MEDONE, LC EIN 26-1769761 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 1590 UNIVERSITY AVE DUBUQUE, IA 52001 | $25K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 | Contract Administrator; Claims processing Service code 12 | — | $17K |
| WELLMARK HEALTH PLAN OF IOWA, INC. EIN 42-1455449 CLAIMS PROCESSOR/ADMIN | Claims processing; Contract Administrator Service code 12 | 1331 GRAND AVE DES MOINES, IA 50309 | $16K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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6 filings · 2020 to 2025