Filings through .
History & trajectory Charts need 2 or more years. This plan has 9 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Health | Health | |
Dental | Dental | |
Broker: Kocher Insurance Group, Inc. LifeSTD | LifeSTD |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 3 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 10,720 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,473 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 14,193 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH AND LIFE INSURANCE | 4,641 | $3.4M |
| Dental | DELTA DENTAL OF MINNESOTA | 3,380 | $1.9M |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 11,487 | $186K |
| Short-term disability | RELIASTAR LIFE INSURANCE COMPANY | 11,487 | $186K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11,487 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Reliastar Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILSON MCSHANE CORPORATION EIN 41-0956552 NONE | Other services; Contract Administrator; Copying and duplicating Service code 13 | — | $3.7M |
| BLUECROSS BLUESHIELD OF MN EIN 41-0984460 NONE | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Contract Administrator Service code 12 | — | $3.7M |
| TEAM EIN 81-4050818 NONE | Other services Service code 49 | — | $1.3M |
| THE SEGAL COMPANY INC EIN 13-1975125 NONE | Actuarial Service code 11 | — | $497K |
| HEALTH GAUGE EIN 81-0612266 NONE | Other services Service code 49 | — | $436K |
| DDMN ASO LLC EIN 41-1852523 NONE | Claims processing Service code 12 | — | $326K |
| UBS FINANCIAL SERVICES, INC. EIN 13-2638166 NONE | Investment advisory (plan); Custodial (securities); Soft dollars commissions; Investment management fees paid directly by plan Service code 19 | — | $310K |
| REINHART EIN 39-1126909 NONE | Legal Service code 29 | — | $214K |
| UNION FIRST LASER TECHNOLOGIES NONE | Copying and duplicating Service code 36 | 365 OAK STREET SOUTH WEST SALEM, WI 54669 | $91K |
| ANDREW, BRANSKY, & POOLE EIN 41-1502219 NONE | Legal Service code 29 | — | $77K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $37K |
| BMO HARRIS BANK EIN 36-2085229 NONE | Custodial (other than securities) Service code 18 | — | $36K |
| HONSA-BINDER PRINTING INC EIN 41-1605232 NONE | Copying and duplicating Service code 36 | — | $20K |
| SOMMERS & FAHRENBACH EIN 36-1796440 NONE | Copying and duplicating Service code 36 | — | $6K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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9 filings · 2017 to 2025