| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | LOCKBOX 28852 NEW YORK, NY 10087 | HARTFORD LIFE AND ACCIDENT | $421K | — | $421K | 6.92% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | 8400 NORMANDALE LAKE BLVD SUITE 1700 MINNEAPOLIS, MN 55437 | HARTFORD LIFE AND ACCIDENT | $24K | — | $24K | 0.39% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE | LOCKBOX 28852 PO BOX 28852 NEW YORK, NY 10087 | HEALTHPARTNERS/GROUP HEALTH, INC. | $94K | — | $94K | 11.92% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | PO BOX 28852 NEW YORK, NY 100878852 | VISION SERVICE PLAN | $7K | — | $7K | 1.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: TOWERS WATSON DELAWARE INC | SUITE 1700 8400 NORMANDALE LAKE BLVD MINNEAPOLIS, MN 55437 | HARTFORD LIFE & ACCIDENT | $13K | $1K | $14K | 8.32% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHPARTNERS INC. EIN 41-1629390 NONE | Insurance services; Direct payment from the plan; Contract Administrator Service code 13 | — | $3.1M |
| EXPRESS SCRIPTS MEDCO HEALTH SOLUT EIN 22-3461740 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $440K |
| HARTFORD LIFE & ACCIDENT EIN 06-0838648 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $373K |
| DELTA DENTAL OF MINNESOTA EIN 41-1905554 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $326K |
| EMPATHIA, INC. EIN 39-1567366 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $165K |
| MINNESOTA LIFE INSURANCE COMPANY EIN 41-0417830 NONE | Investment management fees paid directly by plan; Insurance services; Direct payment from the plan; Investment management; Insurance mortality and expense charge Service code 23 | — | $44K |
| NEW ENGLAND PENSION CONSULTANTS EIN 04-2927339 NONE | Investment advisory (plan); Investment management fees paid directly by plan; Direct payment from the plan Service code 27 | — | $15K |
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 | 8,836 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,240 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 11,076 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 3,803 | $732K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 11,076 | $6.1M |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 11,076 | $6.1M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 11,076 | $6.1M |
| Stop-loss / reinsurancereinsurance | HEALTHPARTNERS/GROUP HEALTH, INC. | 15,588 | $788K |
| Other | HARTFORD LIFE & ACCIDENT | 8,823 | $170K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 15,588 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.