| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM BUTLER INSURANCE SERVICE | PO BOX 28 DUBUQUE, IA 52004 | RELIASTAR LIFE INSURANCE COMPANY | $44K | — | $44K | 13.09% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM BUTLER INSURANCE SERVICE | 800 MAIN ST DUBUQUE, IA 52001 | BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA | $100K | $9K | $109K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF MINNE EIN 41-0984460 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Other fees Service code 12 | PO BOX 64560 ST. PAUL, MN 55164 | $1.0M |
| DDMN ASO LLC EIN 41-1852523 BENEFIT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | 500 WASHINGTON AVE S SUITE 2060 MINNEAPOLS, MN 55415 | $73K |
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 | 1,548 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,548 | 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 | 2,756 | $0 |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 2,913 | $109K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 2,003 | $340K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 2,003 | $340K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,913 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.