| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SUPERIOR BENEFIT ADVISORS LLC3 | 7900 INTERNATIONAL DR SUITE 990 BLOOMINGTON, MN 55431 | UNITEDHEALTHCARE INSURANCE COMPANY | $93K | $0 | $93K | 1.02% |
| SEVENHILLS CLEVELAND LLC3 | 7900 INTERNATIONAL DRIVE SUITE 990 BLOOMINGTON, MN 55102 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $714 | — | $714 | 0.79% |
| HORIZON BENEFITS LLC3 Filed as: HORIZON AGENCY INC | 6500 CITY W PKWY SUITE 100 EDEN PRAIRIE, MN 55344 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $260 | — | $260 | 0.29% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| FORMULA CORPORATION EIN 41-1559435 NONE | Contract Administrator; Claims processing Service code 12 | — | $304K |
| BETTS & HAYES LTD EIN 41-1619880 NONE | Accounting (including auditing) Service code 10 | — | $30K |
| ALTON JOHNSON NONE | Other services Service code 49 | 3541 COLFAX AVE S MINNEAPOLIS, MN 55408 | $10K |
| SUCCESS COMPUTER CONSULTING INC NONE | Other services Service code 49 | 6130 GOLDEN HILLS DR GOLDEN VALLEY, MN 55416 | $10K |
| THOMAS M HUGHES LTD EIN 26-3097969 NONE | Legal Service code 29 | — | $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 | 914 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 918 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 1,890 | $9.1M |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 679 | $32K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 646 | $90K |
| Other | UNITEDHEALTHCARE INSURANCE COMPANY | 679 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,890 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.