| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLS FARGO INSURANCE SERVICES | 400 SOUTH HIGHWAY 169, 8TH FLOOR ST. LOUIS PARK, MN 55426 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 3.79% |
| WELLS FARGO INSURANCE SERVICES | 400 SOUTH HIGHWAY 169, 8TH FLOOR ST. LOUIS PARK, MN 55426 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 5.56% |
| WELLS FARGO INSURANCE SERVICES | 400 SOUTH HIGHWAY 169, 8TH FLOOR ST. LOUIS PARK, MN 55426 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 13.42% |
| GALLAGHER BENEFIT SERVICES, INC. Filed as: WELLS FARGO INSURANCE | PO BOX 203373 DALLAS, TX 753203373 | EYEMED | $876 | — | $876 | 9.93% |
| WELLS FARGO INSURANCE SERVICES | 400 SOUTH HIGHWAY 169, 8TH FLOOR ST. LOUIS PARK, MN 55426 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 14.99% |
No Schedule C service providers reported on this filing.
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 | 255 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 136 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 40 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 431 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | EYEMED | 140 | $9K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 387 | $106K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 136 | $65K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 87 | $22K |
| Stop-loss / reinsurancereinsurance | MEDICA INSURANCE COMPANY | 748 | $339K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 256 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 748 | — |
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."
No prospect flags tripped on this filing.