No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ONEAMERICA RETIREMENT SERVICES LLC EIN 46-5378846 NONE | Participant loan processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Recordkeeping fees; Participant communication; Direct payment from the plan Service code 15 | — | $140K |
| BMO HARRIS BANK N.A. | Soft dollars commissions; Custodial (securities); Float revenue; Investment management fees paid indirectly by plan; Trustee (directed); Trustee (bank, trust company, or similar financial institution); Investment management Service code 19 | — | $0 |
| BMO HARRIS BANK NA EIN 36-2085229 NONE | Trustee (directed); Investment management fees paid indirectly by plan; Custodial (securities); Float revenue; Soft dollars commissions; Investment management; Trustee (bank, trust company, or similar financial institution) Service code 19 | — | $0 |
| MATRIX TRUST COMPANY EIN 75-3182674 NONE | Custodial (securities); Float revenue; Trustee (bank, trust company, or similar financial institution); Trustee (directed) Service code 19 | — | $0 |
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 | 1,766 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 346 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 2,117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | WOODMEN LIFE INSURANCE | 32 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 32 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.