| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GARY WALTERS3 Filed as: GARY W WALTERS | 517 NW 4TH ST BRAINERD, MN 56401 | BLUE CROSS AND BLUE SHIELD OF MINNESOTA | $80K | $8K | $88K | 3.11% |
| GARY WALTERS3 Filed as: GARY W WALTERS | 517 NW 4TH ST BRAINERD, MN 56401 | UNION SECURITY INSURANCE COMPANY | $21K | $7K | $28K | 14.57% |
| GARY WALTERS3 Filed as: GARY W WALTERS | 517 NW 4TH ST BRAINERD, MN 56401 | UNION SECURITY INSURANCE COMPANY | — | $283 | $283 | 0.15% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHEZ EIN 52-2064884 ADMINISTRATOR | Plan Administrator Service code 14 | 7201 W 78TH ST STE 100 BLOOMINGTON, MN 55439 | $31K |
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 | 858 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 24 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 20 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 902 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS AND BLUE SHIELD OF MINNESOTA | 488 | $2.8M |
| Dental | UNION SECURITY INSURANCE COMPANY | 862 | $193K |
| Life insurance | UNION SECURITY INSURANCE COMPANY | 862 | $193K |
| Other | UNION SECURITY INSURANCE COMPANY | 862 | $193K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 862 | — |
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."
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.