| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MATTHEW C FELKNOR3 Filed as: MATTHEW CHARLES FELKNOR | 7701 FRANCE AVENUE SUITE 625 MINNEAPOLIS, MN 55435 | HEALTHPARTNERS INSURANCE COMPANY | — | $32K | $32K | — |
| FELKNOR FINANCIAL GROUP INC3 | SUITE 770 7650 EDINBOROUGH WAY MINNEAPOLIS, MN 55435 | UNUM LIFE INSURANCE CO AMERICA | $2K | — | $2K | — |
| FELKNOR FINANCIAL GROUP INC3 | SUITE 770 7650 EDINBOROUGH WAY MINNEAPOLIS, MN 55435 | UNUM LIFE INSURANCE CO AMERICA | $1K | — | $1K | — |
| FELKNOR FINANCIAL GROUP INC3 | SUITE 770 7650 EDINBOROUGH WAY MINNEAPOLIS, MN 55435 | UNUM LIFE INSURANCE CO AMERICA | $2K | — | $2K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERRILL LYNCH, PIERCE, FENNER AND S EIN 13-5674085 RECORDKEEPER | Shareholder servicing fees; Investment management fees paid indirectly by plan; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Sub-transfer agency fees; Distribution (12b-1) fees; Other investment fees and expenses Service code 15 | — | $470 |
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 | 164 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 10 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 1 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 177 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTHPARTNERS INSURANCE COMPANY | 224 | $0 |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE CO AMERICA | 175 | $0 |
| Long-term disability | UNUM LIFE INSURANCE CO AMERICA | 38 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 224 | — |
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.