| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: SEGAL CONSULTING | 333 WEST 34TH STREET NEW YORK, NY 10001 | UCARE MINNESOTA | $323 | — | $323 | 2.08% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Accounting (including auditing); Contract Administrator; Claims processing Service code 10 | — | $437K |
| BLUE CROSS BLUE SHIELD OF MN EIN 41-0984460 NONE | Claims processing; Contract Administrator Service code 12 | — | $224K |
| SEGAL CONSULTING EIN 13-1975125 NONE | Actuarial; Consulting (general) Service code 11 | — | $65K |
| MAIRS & POWER, INC. EIN 41-0844499 NONE | Soft dollars commissions; Investment management fees paid directly by plan; Investment management Service code 28 | — | $53K |
| LEONARD,O'BRIEN,SPENCER,GALE & SA EIN 41-0956652 NONE | Legal Service code 29 | — | $49K |
| DDMN ASO, LLC EIN 41-1905554 NONE | Claims processing; Contract Administrator Service code 12 | — | $29K |
| TEAM, INC. EIN 83-0469948 NONE | Claims processing Service code 12 | — | $20K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $17K |
| BMO HARRIS BANK EIN 36-2085229 NONE | Other fees Service code 99 | — | $6K |
| PRIME THERAPEUTICS EIN 26-0076803 NONE | Float revenue; Other services; Claims processing; Other fees Service code 12 | — | $6K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | — | $5K |
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 | 1,149 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 92 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,241 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | MEDICA | 19 | $79K |
| Prescription drug | UCARE MINNESOTA | 7 | $16K |
| Stop-loss / reinsurancereinsurance | AMERICAN ALTERNATIVE INSURANCE CORPORATION | 1,177 | $147K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,177 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.