| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PHAROS EMPLOYEE BENEFITS INC3 | 2600 EAGAN WOODS DRIVE EAGAN, MN 55122 | RELIANCE STANDARD LIFE INSURANCE | $3K | — | $3K | 5.00% |
| PHAROS EMPLOYEE BENEFITS INC3 | 2600 EAGAN WOODS DRIVE EAGAN, MN 55122 | RELIANCE STANDARD LIFE INSURANCE | $2K | — | $2K | 4.00% |
| PHAROS EMPLOYEE BENEFITS INC3 | 2600 EAGAN WOODS DRIVE EAGAN, MN 55122 | RELIANCE STANDARD LIFE INSURANCE | $8K | — | $8K | 22.00% |
| PHAROS EMPLOYEE BENEFITS INC3 | 2600 EAGAN WOODS DRIVE EAGAN, MN 55122 | RELIANCE STANDARD LIFE INSURANCE | $2K | — | $2K | 10.00% |
| PHAROS EMPLOYEE BENEFITS INC3 | 2600 EAGAN WOODS DRIVE EAGAN, MN 55122 | RELIANCE STANDARD LIFE INSURANCE | $1K | — | $1K | 10.00% |
| PHAROS EMPLOYEE BENEFITS INC3 | 2600 EAGAN WOODS DRIVE EAGAN, MN 55122 | RELIANCE STANDARD LIFE INSURANCE | $149 | — | $149 | 4.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PHAROS EMPLOYEE BENEFITS NONE | Insurance brokerage commissions and fees; Insurance agents and brokers; Other commissions Service code 22 | 2600 EAGAN WOODS DRIVE EAGAN, MN 55122 | $70K |
| BCBSMN,INC,DBA BLUE CROSS BLUE SHI EIN 41-0984460 NONE | Contract Administrator; Legal; Claims processing; Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | P.O. BOX 64560 ST. PAUL, MN 551640560 | $17K |
| BCBSMN, INC,DBA BLUE CROSS BLUE SHI EIN 41-0984460 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Other fees; Contract Administrator Service code 12 | P.O. BOX 64560 ST PAUL, MN 551640560 | $11K |
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 | 472 | 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) | 472 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | RELIANCE STANDARD LIFE INSURANCE | 450 | $57K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE | 106 | $54K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE | 82 | $38K |
| Other(4 contracts) | RELIANCE STANDARD LIFE INSURANCE | 450 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 450 | — |
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.