| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON RISK SVCS CENRAL C/O NORTHERN | 75 REMITTANCE DR SUITE 1943 CHICAGO, IL 60675 | HM LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| COTTINGHAM & BUTLER3 | PO BOX 28 DUBUQUE, IA 52004 | HM LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM AND BUTLER INSURANCE SER | 800 MAIN ST DUBUQUE, IA 52001 | USABLE LIFE | $8K | $0 | $8K | 6.72% |
| BENEUSA LLC3 | 1851 LAKE DRIVE WEST SUITE 350 CHANHASSEN, MN 55317 | USABLE LIFE | $5K | $0 | $5K | 4.29% |
| AON CONSULTING INC3 | 8300 NORMAN CTR DRIVE, #400 MINNEAPOLIS, MN 55437 | USABLE LIFE | $4K | $0 | $4K | 3.28% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM BUTLER INSURANCE SERVICE | 800 MAIN ST DUBUQUE, IA 52001 | BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA | — | $75K | $75K | — |
| AON CONSULTING INC3 | 5600 W 83RD STREET SUITE 1100 MINNEAPOLIS, MN 55437 | BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA | — | $33K | $33K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF MINNE EIN 41-0984460 NONE | Float revenue; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | PO BOX 64560 ST. PAUL, MN 55164 | $1.2M |
| U.S. BANCORP ASSET MANAGEMENT EIN 41-2003732 NONE | Investment management Service code 28 | — | $21K |
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 | 2,250 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA | 4,508 | $0 |
| Dental | DDMN ASO, LLC | 4,508 | $1.5M |
| Life insurance | USABLE LIFE | 2,638 | $115K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 2,266 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,508 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.