| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CINDY D MYERS3 Filed as: CINDY EIDE | 1805 S BELLAIRE ST SUITE 185 DENVER, CO 80222 | BLUE CROSS BLUE SHIELD OF MINNESOTA | — | $90K | $90K | 10.44% |
| THE ULTIMATE SOFTWARE GROUP0 Filed as: ULTIMATE SOFTWARE | 1485 NORTH PARK DRIVE WESTON, FL 33326 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $6K | $6K | 5.00% |
| THE ULTIMATE SOFTWARE GROUP0 Filed as: THE ULTIMATE SOFTWARE GROUP INC | 1485 NORTH PARK DRIVE WESTON, FL 33326 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $4K | $4K | 5.00% |
| BENEFITS BROKER INC3 Filed as: BENEFITS BROKER | 20 CLUB MANOR DRIVE UNIT A PUEBLO, CO 81008 | VISION SERVICE PLAN | $7K | — | $7K | 10.03% |
| CINDY D MYERS3 | 1805 S BELLAIRE ST. SUITE 185 DENVER, CO 80222 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $10K | — | $10K | 15.00% |
| THE ULTIMATE SOFTWARE GROUP0 Filed as: THE ULTIMATE SOFTWARE GROUP INC | 1485 NORTH PARK DRIVE WESTON, FL 33326 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $3K | $3K | 4.68% |
| THE ULTIMATE SOFTWARE GROUP0 Filed as: THE ULTIMATE SOFTWARE GROUP INC. | 1485 NORTH PARK DRIVE WESTON, FL 33326 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $3K | $3K | 5.00% |
| THE ULTIMATE SOFTWARE GROUP0 Filed as: THE ULTIMATE SOFTWARE GROUP INC | 1485 NORTH PARK DRIVE WESTON, FL 33326 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $795 | $795 | 2.76% |
| THE ULTIMATE SOFTWARE GROUP0 Filed as: THE ULTIMATE SOFTWARE GROUP INC | 1485 NORTH PARK DRIVE WESTON, FL 33326 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $726 | — | $726 | 2.91% |
| DENNIS E HENNESSY4 | 970 WEDGEWOOD DRIVE CRYSTAL LAKE, IL 60014 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $1K | — | $1K | 8.79% |
| STEVE BAKER4 | 153 ESTHER DRIVE COCOA BEACH, FL 32931 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $480 | — | $480 | 3.12% |
| GCG FINANCIAL LLC3 Filed as: GCG FINANCIAL | 3 PARKWAY N SUITE 500 DEERFIELD, IL 60015 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $438 | — | $438 | 2.84% |
| CINDY D MYERS3 Filed as: CINDY MYERS | 1805 S BELLAIRE ST SUITE 185 DENVER, CO 80222 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $390 | — | $390 | 2.53% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 444 W 47TH ST SUITE 900 KANSAS CITY, MO 64112 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $139 | — | $139 | 0.90% |
| VICKY METHVEN4 | 370 GREEN OAK DRIVE KERRVILLE, TX 78028 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $21 | — | $21 | 0.14% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHEILD OF MN EIN 41-0984460 ADMINISTRATIVE SERVICES | Claims processing Service code 12 | 1301 CHESTNUT STREET VIRGINIA, MN 55792 | $201K |
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 | 513 | 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) | 513 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF MINNESOTA | 456 | $862K |
| Dental | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 453 | $387K |
| Vision | VISION SERVICE PLAN | 431 | $72K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 513 | $63K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 513 | $82K |
| Other(5 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 513 | $266K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 513 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.