No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF MN EIN 41-0984460 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Other fees; Contract Administrator; Claims processing Service code 12 | — | $1.4M |
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $833K |
| PRIME THERAPEUTICS | Claims processing; Other services; Float revenue Service code 12 | — | $252K |
| DELTA DENTAL EIN 41-1905554 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $177K |
| UNITED ACTUARIAL SERVICES, INC. EIN 35-2156428 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $112K |
| BARLOW COUGHRAN MORALES & JOSEPHSON EIN 91-0889948 NONE | Legal; Direct payment from the plan Service code 29 | — | $66K |
| PRIME THERAPEUTICS LLC EIN 26-0076803 NONE | Claims processing; Direct payment from the plan; Other services; Float revenue Service code 12 | — | $63K |
| UNION BANK AND TRUST EIN 41-1267434 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $57K |
| MCCORMICK LAW OFFICE, PA EIN 41-1854245 NONE | Legal; Direct payment from the plan Service code 29 | — | $54K |
| NATIONAL INVESTMENT SERVICES, LLC EIN 84-3937993 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $29K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $26K |
| MARQUETTE ASSOCIATES EIN 36-3485298 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $16K |
| FELHABER, LARSON, FENLON & VOGT NONE | Legal; Direct payment from the plan Service code 29 | 220 S 6TH STE 2200 MINNEAPOLIS, MN 55402 | $9K |
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 | 3,163 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 284 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,447 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Prescription drug | BLUECROSS AND BLUESHIELD OF MINNESOTA | 102 | $208K |
| Stop-loss / reinsurancereinsurance | BLUECROSS AND BLUESHIELD OF MINNESOTA | 8,673 | $688K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,673 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.