| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO MIDWEST INC | 7701 FRANCE AVE S SUITE 225 EDINA, MN 554355288 | HUMANA INSURANCE COMPANY | $99K | — | $99K | 4.37% |
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO MIDWEST INC | 7701 FRANCE AVE S SUITE 225 EDINA, MN 554355288 | HUMANA INSURANCE COMPANY OF NEW YORK | $150 | — | $150 | 6.19% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMPREHENSIVE BENEFITS EIN 11-3056825 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $361K |
| CHARLES SCHWAB BANK EIN 42-1558009 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $139K |
| MYCIO WEALTH PARTNERS LLC EIN 20-2611371 NONE | Consulting (general); Investment management; Investment advisory (plan); Investment management fees paid directly by plan; Consulting fees; Direct payment from the plan Service code 16 | — | $60K |
| BDO USA LLP EIN 13-5381590 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $41K |
| STAHL COWEN CROWLEY ADDIS LLC EIN 36-4468439 NONE | Legal; Direct payment from the plan Service code 29 | — | $30K |
| DONNA DOYLE EIN 20-7392576 NONE | Trustee (individual) Service code 20 | — | $12K |
| JOHN BLACK EIN 20-7392576 NONE | Trustee (individual) Service code 20 | — | $8K |
| THOMAS SCHLEMMER EIN 20-7392576 NONE | Trustee (individual) Service code 20 | — | $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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,879 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,879 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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.