The Des Moines, Iowa office of Mercer serves employer clients across manufacturing, professional business services, healthcare and social services, financial activities and retail services, working with small, mid-sized and large employers alike. Its placement work spans self-funded arrangements and medical coverage including PPO and HMO plans, prescription drug benefits, ancillary lines and retirement plans, along with mega wrap arrangements and collectively bargained programs. The office is also associated with high employee ratings on the benefits it supports: clients including Nuvance Health and First Quality Enterprises Inc. are well rated by their employees for benefits. Example carriers placed through the office include Aetna, UnitedHealthcare and Cigna.

USI Insurance Services' Des Moines, Iowa office is part of the national USI Insurance Services organization. The office works with small and mid-sized employers, with experience concentrated in healthcare and social services, wholesale trade, and arts and entertainment. Its work spans both self-funded and fully insured arrangements, including medical and PPO coverage, prescription drug benefits, ancillary lines and retirement plans. Employer clients including The Vernon Company and River Hills Community Health Center are well rated by their employees for benefits. Example carriers placed by the office include Wellmark BCBS of Iowa, UnitedHealthcare and Cigna.