| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCAMEHORN, LISA3 | PHAROS EMPLOYEE BENEFITS, INC. 2600 EAGAN WOODS DR STE 140 EAGAN, MN 55121 | HEALTHPARTNERS INC | — | $3K | $3K | 6.93% |
| PHAROS EMPLOYEE BENEFITS INC3 Filed as: PHAROS EMPLOYEE BENEFITS | 2600 EAGAN WOODS DRIVE STE 140 EAGAN, MN 55122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $569 | $3K | 19.15% |
| PHAROS EMPLOYEE BENEFITS INC3 Filed as: PHAROS EMPLOYEE BENEFITS | 2600 EAGAN WOODS DRIVE STE 140 EAGAN, MN 55122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $689 | $248 | $937 | 13.59% |
| PHAROS EMPLOYEE BENEFITS INC3 Filed as: PHAROS EMPLOYEE BENEFITS | 2600 EAGAN WOODS DRIVE EAGAN, MN 55122 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $298 | $79 | $377 | 18.95% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PHAROS EMPLOYEE BENEFITS NONE | Insurance agents and brokers Service code 22 | 2600 EAGAN WOODS DRIVE SUITE 140 EAGAN, MN 55122 | $33K |
| PREFERREDONE ADMINISTRATIVE SERVICE EIN 41-1846481 NONE | Contract Administrator; Claims processing Service code 12 | 6105 GOLDEN HILLS DR GOLDEN VALLEY, MN 55416 | $29K |
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 | 106 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTHPARTNERS INC | 176 | $44K |
| Dental | HEALTHPARTNERS INC | 176 | $44K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 49 | $7K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 104 | $2K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 104 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 176 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.