No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BMO HARRIS BANK NA EIN 36-2085229 NONE | Direct payment from the plan; Trustee (directed); Recordkeeping fees; Custodial (securities); Distribution (12b-1) fees; Copying and duplicating; Trustee (bank, trust company, or similar financial institution); Redemption fees; Shareholder servicing fees; Participant loan processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Participant communication Service code 15 | — | $106K |
| ONEAMERICA RETIREMENT SERVICES LLC EIN 46-5378846 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Participant loan processing; Direct payment from the plan; Distribution (12b-1) fees; Participant communication; Recordkeeping fees; Shareholder servicing fees; Redemption fees Service code 15 | — | $34K |
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 | 1,170 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 182 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 1 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,356 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts, 3 carriers) | WOODMEN LIFE INSURANCE | 47 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 47 | — |
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.