| 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 | 0.29% |
| MIDWEST PENSION & PROFIT SHARING SV3 | 121 SOUTH 8TH STREET STE 630 MINNEAPOLIS, MN 55402 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $21K | — | $21K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MASSACHUSETTS MUTUAL LIFE INS CO EIN 04-1590850 NONE | Sub-transfer agency fees; Distribution (12b-1) fees; Soft dollars commissions; Other investment fees and expenses; Recordkeeping fees; Other insurance wrap fees; Investment management fees paid indirectly by plan Service code 52 | 1295 STATE STREET SPRINGFIELD, MA 01111 | $22K |
| MIDWEST PENSION & PROFIT SHARING SE | Contract Administrator Service code 13 | — | $9K |
| MIDWEST PENSION & PRFT SH SERVS INC EIN 41-1447816 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator Service code 13 | 121 SOUTH 8TH STREET SUITE 630 MINNEAPOLIS, MN 55402 | $460 |
| MASSACHUSETTS MUTUAL LIFE INSURANCE | Sub-transfer agency fees; Other insurance wrap fees; Other investment fees and expenses Service code 60 | — | $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 | 334 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 24 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 360 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | 1 | $2K |
| Other | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | 360 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 360 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.