No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHEILD OF MINNESOTA EIN 41-0984460 BUSINESS RELATIONSHIP | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator Service code 12 | — | $3.2M |
| HEALTHWAYS BUSINESS RELATIONSHIP | Other services Service code 49 | 701 COOL SPRINGS BLVD FRANKLIN, TN 37067 | $1.2M |
| EXPRESS SCRIPTS EIN 23-3461740 BUSINESS RELATIONSHIP | Claims processing; Contract Administrator Service code 12 | — | $394K |
| DELTA DENTAL EIN 41-1905554 BUSINESS RELATIONSHIP | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $315K |
| ADVANCE MEDICAL EIN 32-0188784 BUSINESS RELATIONSHIP | Other services Service code 49 | — | $220K |
| LIMEADE BUSINESS RELATIONSHIP | Other services Service code 49 | 10885 NE 4TH STREET STE 400 BELLEVUE, WA 98004 | $70K |
| DELOITTE & TOUCHE EIN 13-3891517 BUSINESS RELATIONSHIP | Accounting (including auditing) Service code 10 | — | $40K |
| TOWERS WATSON EIN 53-0181291 BUSINESS RELATIONSHIP | Other commissions Service code 55 | — | $21K |
| COMERICA EIN 38-0477375 TRUSTEE & PARTY-IN-INTERE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $8K |
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 | 6,808 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 156 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 6,964 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | BCBSMN, INC. D.B.A BLUE CROSS BLUE SHIELD OF MINNESOTA | 6,964 | $331K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,964 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.