| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT A SKARTVEDT3 | 121 SOUTH 8TH STREET STE 630 MINNEAPOLIS, MN 55402 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $5 | — | $5 | — |
| MIDWEST PENSION & PROFIT SHARING SV3 Filed as: MIDWEST PENSION & PRFT SHRNG SRVS | 121 SOUTH 8TH STREET STE 630 MINNEAPOLIS, MN 55402 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $34K | — | $34K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MASSACHUSSETTS MUTUAL LIFE INSURANC EIN 04-1590850 CONTRACT ADMINISTRATOR | Other investment fees and expenses; Soft dollars commissions; Distribution (12b-1) fees; Recordkeeping fees; Other services; Sub-transfer agency fees; Investment management fees paid indirectly by plan; Other insurance wrap fees Service code 49 | — | $31K |
| MIDWEST PENSION & PROFIT SHARING SE EIN 41-1447816 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 13 | — | $25K |
| ALGER EIN 13-2665689 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| AMERICAN CENTURY EIN 43-1646043 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| AMERICAN FUNDS EIN 94-6050854 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| COLUMBIA EIN 94-1687665 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| DREYFUS EIN 13-3851784 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| ENVESTNET RETIREMENT SOLUTIONS LLC EIN 61-1732930 INVESTMENT ADVISOR | Investment advisory (plan) Service code 27 | — | $0 |
| EVESTNET RETIREMENT SOLUTIONS, LLC | Investment advisory (plan) Service code 27 | — | $0 |
| MASSACHUSETTS MUTUAL LIFE INSURANCE | Sub-transfer agency fees; Distribution (12b-1) fees; Other investment fees and expenses; Investment management fees paid indirectly by plan; Other insurance wrap fees; Other services Service code 49 | — | $0 |
| MFS INVESTMENT MANAGEMENT EIN 04-3158862 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| OPPENHEIMER EIN 93-6305075 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| T ROWE PRICE EIN 52-0791372 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| T. ROWE PRICE | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
| VICTORY EIN 31-6364605 INVESTMENT PROVIDER | Investment management fees paid indirectly by plan Service code 52 | — | $0 |
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 | 343 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 52 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 397 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | 397 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 397 | — |
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."
No prospect flags tripped on this filing.