| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE MILLIMAN AGENCY INC5 | ATTN PAT HENDRICKSON 1301 5TH AVE, STE 3800 SEATTLE, WA 98101 | DELTA DENTAL OF MINNESOTA | $65K | $0 | $65K | 3.68% |
| THE MILLIMAN AGENCY INC5 Filed as: THE MILLIMAN AGENCY | 1 PENNSYLVANIA PLAZA 38TH FLOOR NEW YORK, NY 10119 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $34K | $0 | $34K | 2.52% |
| THE MILLIMAN AGENCY INC5 | 1 PENNSYLVANIA PLAZA 38TH FLOOR NEW YORK, NY 10119 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $29K | $0 | $29K | 4.96% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LAND O' LAKES MCHP EIN 46-2631103 PLAN ADMINISTRATOR | Plan Administrator Service code 14 | — | $1.3M |
| MILLIMAN, INC EIN 91-0675641 RECORDKEEPING | Recordkeeping fees Service code 64 | — | $138K |
| DISCOVERY BENEFITS, INC. EIN 90-0058554 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $27K |
| RR DONNELLEY EIN 36-1004130 COMMUNICATIONS | Participant communication Service code 38 | — | $20K |
| STAPLES PRMOTIONAL PRODUCTS EIN 04-3390816 OFFICE SUPPLIES | Other services Service code 49 | — | $8K |
| USPS EIN 41-0760000 POSTAGE | Other services Service code 49 | — | $5K |
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 | 4,619 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,619 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BCBSM, INC. D.B.A. BLUE CROSS AND BLUE SHIELD OF MINNESOTA | 3,595 | $39.2M |
| Dental | DELTA DENTAL OF MINNESOTA | 2,179 | $1.8M |
| Vision | VISION SERVICE PLAN | 2,586 | $370K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 5,394 | $1.9M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 5,394 | $1.4M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 5,394 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,394 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.