| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY4 Filed as: SEGAL CONSULTING | 3800 AMERICAN BLVD W, STE 870 BLOOMINGTON, MN 554314459 | BCBSM, INC. DBA BLUE CROSS BLUE SHIELD OF MINNESOTA | — | $29K | $29K | 4.27% |
| CAPITOL SPECIAL RISKS3 | 1899 POWERS FERRY ROAD ATLANTA, GA 30339 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $30K | — | $30K | 15.00% |
| INTERACTIVE INSURANCE SOLUTIONS3 | 729 RAGSDALE ROAD SHARPSBURG, GA 30277 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $10K | — | $10K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Contract Administrator; Accounting (including auditing) Service code 10 | — | $1.1M |
| BLUE CROSS BLUE SHIELD OF MN EIN 41-0984460 NONE | Contract Administrator; Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $719K |
| DDMN ASO, LLC EIN 41-1905554 NONE | Claims processing Service code 12 | — | $91K |
| KUTAK ROCK LLP EIN 47-0597598 NONE | Legal Service code 29 | — | $61K |
| TEAM, INC. EIN 81-4050818 NONE | Claims processing Service code 12 | — | $49K |
| NATIONAL INVESTMENT SERVICES, INC. EIN 80-0169636 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $42K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Consulting (general) Service code 16 | — | $42K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $32K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | — | $25K |
| ANCHOR CAPITAL ADVISORS LLC EIN 20-4669888 NONE | Investment management fees paid directly by plan; Investment management; Securities brokerage commissions and fees; Soft dollars commissions Service code 28 | — | $16K |
| HONSA-BINDER PRINTING INC. EIN 41-1605232 NONE | Copying and duplicating Service code 36 | — | $14K |
| PRIME THERAPEUTICS EIN 26-0076803 NONE | Claims processing; Float revenue; Other services; Other fees Service code 12 | — | $3K |
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 | 3,594 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 110 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,704 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF MINNESOTA | 145 | $341K |
| Life insurance | FIDELITY SECURITY LIFE INSURANCE COMPANY | 3,584 | $201K |
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF MINNESOTA | 141 | $130K |
| Stop-loss / reinsurancereinsurance | BCBSM, INC. DBA BLUE CROSS BLUE SHIELD OF MINNESOTA | 3,575 | $670K |
| Other | FIDELITY SECURITY LIFE INSURANCE COMPANY | 3,584 | $201K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,584 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.