No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS BLUE SHIELD EIN 39-0138065 NONE | Claims processing; Contract Administrator; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services Service code 12 | — | $1.9M |
| EXPRESS SCRIPTS, INC. EIN 22-3461740 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $883K |
| CASE MANAGEMENT SPECIALTIES EIN 61-1688248 NONE | Direct payment from the plan; Consulting fees Service code 50 | — | $463K |
| THE PREVIANT LAW FIRM S.C. EIN 39-1211596 NONE | Legal; Direct payment from the plan Service code 29 | — | $295K |
| DELTA DENTAL OF WISCONSIN EIN 39-6094742 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $224K |
| TEAM NONE | Consulting (general); Direct payment from the plan Service code 16 | 3001 METRO DR SUITE 500 BLOOMINGTON, MN 55425 | $155K |
| BENESYS EIN 38-2383171 NONE | Direct payment from the plan; Accounting (including auditing); Actuarial Service code 10 | — | $113K |
| REINHART BOERNER VAN DEUREN S.C. EIN 39-1126909 NONE | Legal; Direct payment from the plan Service code 29 | — | $79K |
| PART D ADVISORS NONE | Other fees; Direct payment from the plan Service code 50 | 17199 N LAUREL PARK DRIVE SUITE 400 LIVONIA, MI 48152 | $75K |
| INVESCO ADVISERS, INC. EIN 58-1707262 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $69K |
| BRIDGET WELKE EIN 39-6079856 EMPLOYEE | Direct payment from the plan; Contract Administrator Service code 13 | — | $64K |
| PATRICIA SCHNEIDER EIN 39-6079856 EMPLOYEE | Direct payment from the plan; Contract Administrator Service code 13 | — | $53K |
| NICOLE FALKNER EIN 39-6079856 EMPLOYEE | Contract Administrator; Direct payment from the plan Service code 13 | — | $45K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $40K |
| NORTHERN TRUST INVESTMENTS, INC EIN 36-2723087 NONE | Investment management fees paid directly by plan; Soft dollars commissions; Investment management Service code 28 | — | $38K |
| MELISSA ERDMAN EIN 39-6079856 EMPLOYEE | Contract Administrator; Direct payment from the plan Service code 13 | — | $35K |
| ERIN IVES EIN 39-6079856 EMPLOYEE | Direct payment from the plan; Contract Administrator Service code 13 | — | $34K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $33K |
| EAU CLAIRE PRINTING CO., INC. EIN 39-0913472 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $32K |
| CHERYL FRISCH EIN 39-6079856 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $25K |
| ASSOCIATED BANK EIN 39-1564826 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $23K |
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 | 4,091 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,646 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,737 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 2,048 | $5.7M |
| Dental | CARE-PLUS DENTAL PLANS, INC. | 138 | $48K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 4,478 | $217K |
| Other | HCC LIFE INSURANCE COMPANY | 4,520 | $804K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,520 | — |
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.