| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL YURCZYK3 Filed as: MICHAEL MERLE ERPELDING | 5201 EDEN AVENUE, SUITE 200 EDINA, MN 55436 | NORTHWESTERN MUTUAL | $6K | $2K | $8K | 1.42% |
| LISA ANN SCAMEHORN3 | 2600 EAGAN WOODS DRIVE, SUITE 140 EAGAN, MN 55121 | NORTHWESTERN MUTUAL | $6K | $2K | $8K | 1.35% |
| HELLYER GROUP LLC3 | 1191 NORTHLAND DRIVE, SUITE 150 MENDOTA HEIGHTS, MN 55120 | NORTHWESTERN MUTUAL | $2K | $300 | $3K | 0.48% |
| USI INSURANCE SERVICES LLC3 | UNKNOWN KIMBERLY, WI 54136 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $10K | $0 | $10K | 9.08% |
No Schedule C service providers reported on this filing.
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 | 2,114 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 18 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,132 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 2,073 | $107K |
| Life insurance | NORTHWESTERN MUTUAL | 2,114 | $579K |
| Long-term disability | NORTHWESTERN MUTUAL | 2,114 | $579K |
| Other | NORTHWESTERN MUTUAL | 2,114 | $579K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,114 | — |
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."
No prospect flags tripped on this filing.