Form 5500 · Employee benefit plan · DAVENPORT, IA
MOBOTREX
Public Form 5500 records show how MOBOTREX of DAVENPORT, IA, a manufacturing employer, structures its employee benefits. Its broker of record is ZACH CORPORATION DBA GROUP BEN. Coverage is written through WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA and 1 other carrier. The plan's most recent policy period ended in March.
Sourced from U.S. DOL EFAST2 Form 5500 · EIN 36-2656899 · plan 502 · as of Aug 2026
Plan brief
Schedule A lists 9 insured contracts covering dental, vision, life, disability and stop-loss; the largest, with WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA, covers 155 people.
The only insured piece of the health benefit is stop-loss coverage — the plan itself is self-funded, so premium and commission here reflect the stop-loss contract, not medical premium.
Reported premium across the insured contracts is $2,258,712, with $73,563 in disclosed broker commissions — about 3.3% of premium.
The most recent policy period ended in March, and the plan year ends March 31. Group contracts typically renew on that annual cycle.
ZACH CORPORATION DBA GROUP BEN is the broker of record on 1 of the 9 contracts; the rest name a different broker or none.
Schedule A insurance contracts
| Carrier | Benefits | Covered | Renews | Premium | Commission |
|---|---|---|---|---|---|
| WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | Stop-loss | 155 | March | $2,000,290 | $50,193 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 122 | March | $59,296 | $5,930 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 33 | March | $14,765 | $3,691 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Dental | 154 | March | $88,384 | $3,222 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 74 | December | $30,802 | $3,080 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Disability | 186 | March | $26,477 | $2,648 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Life | 186 | March | $18,866 | $1,887 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | — | 38 | March | $6,197 | $1,549 |
| UNITED OF OMAHA LIFE INSURANCE COMPANY | Vision | 143 | March | $13,635 | $1,363 |
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