| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COTTINGHAM & BUTLER Filed as: COTTINGHAM BUTLER INSURANCE SERVICE | PO BOX 28 DUBUQUE, IA 52001 | RELIASTAR LIFE INSURANCE COMPANY | $64K | — | $64K | 9.15% |
| COTTINGHAM & BUTLER3 Filed as: COTTINGHAM BUTLER INSURANCE SERVICE | PO BOX 28 DUBUQUE, IA 52004 | FIDELITY SECURITY LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| 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 | $21K | $121K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS AND BLUE SHIELD OF MINNE EIN 41-0984460 NONE | Other fees; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | PO BOX 64560 ST. PAUL, MN 55164 | $871K |
| DDMN ASO LLC EIN 41-1852523 BENEFIT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | 500 WASHINGTON AVE S SUITE 2060 MINNEAPOLS, MN 55415 | $72K |
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 | 1,501 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,501 | 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 | 2,576 | $0 |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 2,832 | $103K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 1,967 | $700K |
| Long-term disability | RELIASTAR LIFE INSURANCE COMPANY | 1,967 | $700K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,832 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.