| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GARY WALTERS3 | 517 NW 4TH STREET BRAINERD, MN 56401 | HCC LIFE INSURANCE | $72K | — | $72K | 22.23% |
| GARY WALTERS3 | 517 NW 4TH ST BRAINERD, MN 56401 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 21.29% |
| GARY WALTERS3 | 517 NW 4TH ST BRAINERD, MN 56401 | BCBSM, INC. D.B.A. BLUE CROSS AND BLUE SHIELD OF MINNESOTA | $630 | — | $630 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COMPREHENSIVE CARE SERVICES, INC. EIN 41-1427596 CLAIMS PROCESSING | Plan Administrator Service code 14 | PO BOX 64668 ST. PAUL, MN 55164 | $76K |
| WESTBERG EISCHENS, PLLP EIN 41-1792388 ACCOUNTANT | Accounting (including auditing) Service code 10 | 217 INDUSTRIAL DRIVE SW WILLMAR, MN 56201 | $20K |
| FIDUCIA BENEFITS GROUP EIN 20-0257666 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 517 NW 4TH STREET BRAINERD, MN 56401 | $10K |
| MORGAN STANLEY EIN 26-4310632 INVESTMENT ADVISOR | Investment advisory (plan) Service code 27 | 2000 WESTCHESTER AVE PURCHASE, NY 10577 | $10K |
| PRUCO SECURITIES, LLC EIN 23-2384840 INVESTMENT ADVISOR | Investment advisory (plan) Service code 27 | PO BOX 15070 NEW BRUNSWICK, NJ 089065070 | $5K |
| STINSON LEONARD STREET EIN 44-0643135 ATTORNEY | Legal Service code 29 | PO BOX 843052 KANSAS CITY, MO 641843052 | $2K |
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 | 694 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 36 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 730 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BCBSM, INC. D.B.A. BLUE CROSS AND BLUE SHIELD OF MINNESOTA | 21 | $0 |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 784 | $23K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE | 730 | $324K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 784 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 784 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.