No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBSMN,INC-DBA BLUECROSS BLUESHIELD EIN 41-0984460 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Insurance agents and brokers; Contract Administrator; Legal; Direct payment from the plan; Other fees; Claims processing; Insurance brokerage commissions and fees; Other commissions; Float revenue Service code 12 | — | $4.1M |
| GRAND ROUNDS,INC. EIN 45-3580052 NONE | Direct payment from the plan; Consulting fees; Contract Administrator Service code 13 | — | $605K |
| BCBSMN INC DBA BLUECROSS BLUESHIELD | Claims processing; Other fees; Contract Administrator; Legal; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $285K |
| DELTA DENTAL OF MINNESOTA EIN 41-1905554 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $215K |
| MII LIFE, INC.-DBA FURTHER EIN 41-6019132 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $168K |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $104K |
| TFG PARTNERS, LLC EIN 14-1898306 NONE | Consulting fees; Consulting (general); Direct payment from the plan Service code 16 | — | $72K |
| PREFERRED BENEFITS CONCEPTS, INC. NONE | Consulting (general); Direct payment from the plan; Insurance services; Consulting fees Service code 16 | 8881 AZTEC DR, EDEN PRAIRIE, MN 55347 | $35K |
| BAKER TILLY US, LLP EIN 39-0859910 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $25K |
| DEBRA A. HALVORSON NONE | Direct payment from the plan; Actuarial Service code 11 | 26830 WEISKOPF DRIVE ENGLEWOOD, FL 34223 | $5K |
| WELLS FARGO MINNESOTA NA EIN 94-1347393 NONE | Trustee (bank, trust company, or similar financial institution); Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $4K |
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 | 7,101 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 53 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | HARTFORD LIFE AND ACCIDENT | 6,207 | $2.0M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 999 | $118K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 2,827 | $440K |
| Other(3 contracts) | HARTFORD LIFE AND ACCIDENT | 5,612 | $573K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,207 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.