No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| THOMAS C. PLUNKETT NONE | Legal Service code 29 | 101 EAST FIFTH STREET SUITE 1500 ST. PAUL, MN 55101 | $168K |
| WOLD MORRISON LAW NONE | Legal Service code 29 | 331 SECOND AVE S #705 MINNEAPOLIS, MN 55401 | $155K |
| KEVIN J. SHORT NONE | Legal Service code 29 | 150 SOUTH FIFTH ST. #2860 MINNEAPOLIS, MN 55402 | $142K |
| DEBORAH ELLIS NONE | Legal Service code 29 | 101 EAST FIFTH STREET SUITE 1500 ST. PAUL, MN 55101 | $128K |
| WILLIAM R. SPACE NONE | Legal Service code 29 | 8813 LOWER 8TH PLACE LAKE ELMO, MN 55042 | $83K |
| PEREGRINE CORPORATION NONE | Legal Service code 29 | 1636 N CEDAR CREST BLVD #320 ALLENTOWN, PA 18104 | $39K |
| MINNESOTA POLICE AND PEACE OFFICER PLAN SPONSOR | Recordkeeping and information management (computing, tabulating, data processing, etc.); Plan Administrator Service code 14 | 525 PARK ST 250 ST. PAUL, MN 55103 | $30K |
| MARK BURLEY NONE | Legal Service code 29 | 17722 DUNKIRK ST. NE HAM LAKE, MN 55304 | $26K |
| CHESTNUT CAMBRONNE PA NONE | Legal Service code 29 | 100 WASHINGTON AVE S SUITE 1700 MINNEAPOLIS, MN 55401 | $26K |
| ROGOSHESKE, ROGOSHESKE & ATKINS PLL NONE | Legal Service code 29 | 105 HARDMAN COURT SUITE 110 SOUTH ST. PAUL, MN 55075 | $23K |
| ROBERT M. PAULE, PA NONE | Legal Service code 29 | 920 SECOND AVENUE SOUTH SUITE 975 MINNEAPOLIS, MN 55402 | $22K |
| PAUL ENGH NONE | Legal Service code 29 | 650 THIRD AVENUE SOUTH SUITE 260 MINNEAPOLIS, MN 55402 | $22K |
| O' KEEFE INVESTIGATIONS NONE | Legal Service code 29 | 331 2ND AVENUE SOUTH #705 MINNEAPOLIS, MN 55401 | $21K |
| BRUNO LAW, PLLC NONE | Legal Service code 29 | 4272 DAHLBERG DRIVE GOLDEN VALLEY, MN 55422 | $18K |
| ARDEN INVESTIGATIONS INC. NONE | Legal Service code 29 | 1220 KARTH LAKE DRIVE ST. PAUL, MN 55112 | $15K |
| HALBERG CRIMINAL DEFENSE NONE | Legal Service code 29 | 7900 XERXES AVENUE SOUTH SUITE 1700 BLOOMINGTON, MN 55431 | $14K |
| LEGAL DEFENSE ADMINISTRATORS INC NONE | Employee (plan sponsor) Service code 35 | PO BOX 1394 SANTA ROSA, CA 95402 | $12K |
| SECURIAN TRUST COMPANY NA CUSTODIAL | Investment management fees paid directly by plan Service code 51 | 400 ROBERT ST N ST. PAUL, MN 55101 | $10K |
| OLSEN THIELEN & CO., LTD AUDITOR | Accounting (including auditing) Service code 10 | 2675 LONG LAKE ROAD ROSEVILLE, MN 55113 | $10K |
| EARL GRAY NONE | Legal Service code 29 | 332 MINNESOTA STREET SUITE W1610 ST. PAUL, MN 55101 | $10K |
| THOMAS M. KELLY NONE | Legal Service code 29 | 650 3RD AVE S SUITE 260 MINNEAPOLIS, MN 55402 | $8K |
| KELLY & JACOBSON NONE | Legal Service code 29 | 650 3RD AVE S SUITE 260 MINNEAPOLIS, MN 55402 | $8K |
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 | 9,999 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 9,999 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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.