| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC. | 80 SOUTH 8TH STREET, STE 700 MINNEAPOLIS, MN 55402 | HCC LIFE INSURANCE COMPANY | $27K | $0 | $27K | 10.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN OF FLORIDA, INC. | PO BOX 748422 ATLANTA, GA 303748422 | HCC LIFE INSURANCE COMPANY | $0 | $12K | $12K | 4.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 NONE | Other fees; Claims processing Service code 12 | — | $275K |
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Accounting (including auditing); Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Contract Administrator Service code 10 | — | $272K |
| SHUMAKER, LOOP & KENDRICK LLP EIN 34-4439491 NONE | Legal Service code 29 | — | $41K |
| TEAM, INC. EIN 81-4050818 NONE | Claims processing Service code 12 | — | $26K |
| CVS HEALTH EIN 41-0737593 NONE | Claims processing Service code 12 | — | $19K |
| DDMN ASO, LLC EIN 41-1852523 NONE | Claims processing; Contract Administrator Service code 12 | — | $19K |
| MAIRS & POWER, INC. EIN 41-0844499 NONE | Investment management Service code 28 | — | $16K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $16K |
| ZACKS INVESTMENT MANAGEMENT EIN 36-3792197 NONE | Investment management Service code 28 | — | $13K |
| HONSA BINDER PRINTER NONE | Other services Service code 49 | 1065 PHALEN BLVD ST PAUL, MN 55106 | $9K |
| STANDARD VALUATIONS, INC EIN 41-1327339 NONE | Investment advisory (plan) Service code 27 | — | $8K |
| UNION BANK & TRUST EIN 41-1267434 NONE | Other investment fees and expenses; Custodial (securities) Service code 19 | — | $8K |
| FRSECURE LLC NONE | Other services Service code 49 | 6550 YORK AVE S, STE 500 EDINA, MN 55435 | $7K |
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 | 799 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 799 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 780 | $265K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 780 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.