| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAN BENEFITS CONSULTING LLC3 | 99 PARK AVENUE 25TH FLOOR NEW YORK, NY 10016 | SECURIAN LIFE INSURANCE COMPANY | $0 | $110K | $110K | 2.25% |
| AMERICAN BENEFITS CONSULTING LLC3 | 99 PARK AVENUE 25TH FLOOR NEW YORK, NY 10016 | MINNESOTA LIFE INSURANCE COMPANY | $0 | $109K | $109K | 2.27% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AON HEWITT EIN 36-2235791 NONE | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $1.7M |
| NORTHERN TRUST COMPANY EIN 36-3608252 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $705K |
| BCBSM, INC. EIN 41-0984460 NONE | Float revenue; Claims processing; Contract Administrator; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $599K |
| DDMN ASO, LLC EIN 41-1905554 NONE | Direct payment from the plan; Claims processing; Account maintenance fees Service code 12 | — | $528K |
| WESTERN ASSET MANAGEMENT COMPANY EIN 95-2705767 NONE | Investment management fees paid directly by plan; Other commissions; Investment management Service code 28 | — | $204K |
| BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $127K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $72K |
| CVS PHARMACY, INC EIN 05-0340626 NONE | Claims processing; Direct payment from the plan; Account maintenance fees Service code 12 | — | $54K |
| 3M COMPANY EIN 41-0417775 PLAN SPONSOR | Direct payment from the plan; Plan Administrator; Other fees Service code 14 | — | $52K |
| ERNST & YOUNG LLP EIN 34-6565996 NONE | Direct payment from the plan; Other fees Service code 50 | — | $29K |
| RELIASTAR LIFE INSURANCE COMPANY EIN 41-0451140 NONE | Account maintenance fees; Direct payment from the plan Service code 50 | — | $16K |
| CHIPPEWA GRAPHICS EIN 41-1481438 NONE | Other services; Direct payment from the plan Service code 49 | — | $13K |
| ISG EIN 76-0319443 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $10K |
| STATE STREET GLOBAL ADVISORS EIN 04-1867445 NONE | Investment management; Custodial (securities); Investment management fees paid directly by plan; Soft dollars commissions Service code 19 | — | $6K |
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 | 35,628 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 26,856 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 62,484 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | SECURIAN LIFE INSURANCE COMPANY | 26,029 | $9.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 26,029 | — |
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.