| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ZACH CORPORATION3 Filed as: ZACH CORPORATION DBA GROUP BEN | 622 PROGRESS AVE PO BOX 2597 WATERLOO, IA 50701 | WELLMARK BLUE CROSS BLUE SHEILD | $18K | — | $18K | 0.50% |
| PEDERSEN DOWIE CLABBY3 | 3022 AIRPORT BLVD PO BOX 2597 WATERLOO, IA 50703 | METROPOLITAN LIFE INSURANCE COMPANY | $20K | — | $20K | 6.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| METROPOLOTIN LIFE INSURANCE COMPANY EIN 13-5581829 CLAIMS PROCESSOR/ADMIN | Claims processing; Contract Administrator Service code 12 | 501 US HWY 22 2ND FLOOR WEST BRIDGEWATER, NJ 08807 | $20K |
| WELLMARK BLUE CROSS BLUE SHEILD EIN 42-1455449 CLAIMS PROCESSOR/ADMIN | Contract Administrator; Claims processing Service code 12 | 1331 GRAND AVE DES MOINES, IA 50309 | $18K |
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 | 904 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 904 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS BLUE SHEILD | 356 | $3.5M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 904 | $318K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 904 | $318K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 904 | $318K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 904 | $318K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 904 | $318K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 904 | — |
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.
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.