| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: SEGAL CO MIDWEST INC | 7701 FRANCE AVE S STE 225 EDINA, MN 55435 | HUMANA INSURANCE COMPANY | $34K | — | $34K | 0.45% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| 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 | — | $3.9M |
| WILSON MCSHANE CORPORATION EIN 41-0956552 NONE | Contract Administrator Service code 13 | — | $3.1M |
| TEAM EIN 81-4050818 NONE | Other services Service code 49 | — | $1.4M |
| STAIRWAY PARTNERS, LLC EIN 20-1164360 NONE | Investment advisory (plan); Custodial (securities) Service code 19 | — | $527K |
| DDMN ASO LLC EIN 41-1852523 NONE | Claims processing; Other services Service code 12 | — | $305K |
| REINHART EIN 39-1126909 NONE | Legal Service code 29 | — | $128K |
| ERIN LANG EIN 23-7015120 EMPLOYEE | Employee (plan) Service code 30 | — | $94K |
| ANDREW, BRANSKY, & POOLE EIN 41-1502219 NONE | Legal Service code 29 | — | $90K |
| HONSA-BINDER PRINTING INC EIN 41-1605232 NONE | Copying and duplicating Service code 36 | — | $51K |
| BMO HARRIS BANK EIN 36-2085229 NONE | Custodial (other than securities) Service code 18 | — | $42K |
| KELLY PRESS INC NONE | Copying and duplicating Service code 36 | 4430 N INTERSTATE DR COLUMBIA, MO 65202 | $35K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $33K |
| WHITESTAR ADVISORS LLC EIN 03-0496641 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $32K |
| HYGEIA CORPORATION EIN 36-4331825 NONE | Other services Service code 49 | — | $31K |
| KUTAK ROCK EIN 47-0597598 NONE | Legal Service code 29 | — | $20K |
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 | 10,842 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,396 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 14,238 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 4,338 | $9.8M |
| Dental | DELTA DENTAL OF MINNESOTA | 2,691 | $1.3M |
| Prescription drug(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 4,338 | $9.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,338 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.