| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY4 Filed as: SEGAL COMPANY MIDWEST | 101 N. WACKER DRIVE, STE 500 CHICAGO, IL 60606 | HCC LIFE INSURANCE COMPANY | $1K | — | $1K | 0.22% |
| THE SEGAL COMPANY4 Filed as: SEGAL CONSULTING | 333 W. 34TH STREET NEW YORK, NY 10001 | UCARE MINNESOTA | $714 | — | $714 | 2.44% |
| THE SEGAL COMPANY4 Filed as: SEGAL CONSULTING | 333 W. 34TH STREET NEW YORK, NY 10001 | UCARE MINNESOTA | $258 | — | $258 | 2.97% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Claims processing; Accounting (including auditing); Contract Administrator Service code 10 | — | $536K |
| BLUE CROSS BLUE SHIELD OF MN EIN 41-0984460 NONE | Other fees; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $345K |
| REINHART BOERNER VAN DEUREN S.C. EIN 39-1126909 NONE | Legal Service code 29 | — | $99K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial; Consulting (general) Service code 11 | — | $63K |
| MAIRS & POWER, INC. EIN 41-0844499 NONE | Investment management; Investment management fees paid directly by plan; Soft dollars commissions Service code 28 | — | $35K |
| DDMN ASO, LLC EIN 41-1905554 NONE | Claims processing; Contract Administrator Service code 12 | — | $32K |
| TEAM, INC. EIN 81-4050818 NONE | Claims processing Service code 12 | — | $23K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $19K |
| GLOBAL CARE INC. EIN 31-1407689 NONE | Contract Administrator; Claims processing Service code 12 | — | $6K |
| PRIME THERAPEUTICS EIN 26-0076803 NONE | Other fees; Claims processing; Other services; Float revenue Service code 12 | — | $5K |
| 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 | 1,074 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 110 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,184 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | MEDICA | 14 | $109K |
| Prescription drug(2 contracts) | UCARE MINNESOTA | 17 | $38K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 1,186 | $475K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,186 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.