Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: Usi Insurance Services LLC LifeLTD | LifeLTD |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 2 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 2,819 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 385 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,204 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | STANDARD INSURANCE COMPANY | 2,967 | $310K |
| Long-term disability | STANDARD INSURANCE COMPANY | 2,714 | $122K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,967 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Standard Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBSMN, INC. EIN 41-0984460 NONE | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator Service code 12 | — | $1.4M |
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Contract Administrator; Claims processing Service code 12 | — | $1.2M |
| COOKE & BIELER EIN 23-3082822 NONE | Investment management; Securities brokerage commissions and fees; Soft dollars commissions Service code 28 | — | $124K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial Service code 11 | — | $109K |
| CBIZ INVESTMENT ADVISORY SERVICES EIN 81-3968784 NONE | Investment advisory (plan) Service code 27 | — | $98K |
| DELTA DENTAL OF MN EIN 41-1852523 NONE | Claims processing Service code 12 | — | $96K |
| VICTORY CAPITAL MANAGEMENT EIN 13-2700161 NONE | Investment management; Soft dollars commissions Service code 28 | — | $81K |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Claims processing Service code 12 | — | $71K |
| GLOBALCARE, INC. EIN 31-1407689 NONE | Claims processing Service code 12 | — | $65K |
| ERICKSON, BELL, BECKMAN, & QUINN P. EIN 80-0512394 NONE | Legal Service code 29 | — | $63K |
| MN TEAMSTERS SERVICE BUREAU EIN 41-1513000 NONE | Claims processing Service code 12 | — | $61K |
| HIGHLAND CAPITAL MANAGEMENT EIN 27-5440911 NONE | Investment advisory (participants) Service code 26 | — | $57K |
| MAIRS & POWER, INC. EIN 41-0844499 NONE | Soft dollars commissions; Investment management; Investment management fees paid directly by plan Service code 28 | — | $55K |
| UNION BANK & TRUST EIN 41-1267434 NONE | Custodial (securities); Other investment fees and expenses Service code 19 | — | $54K |
| WCM INVESTMENT MANAGEMENT EIN 95-3046237 NONE | Securities brokerage commissions and fees; Investment management; Soft dollars commissions Service code 28 | — | $36K |
| OPTUM RX, INC. EIN 33-0441200 NONE | Claims processing; Float revenue; Other fees; Direct payment from the plan Service code 12 | — | $35K |
| REINHART BOERNER VAN DEUREN S.C. EIN 39-1126909 NONE | Legal Service code 29 | — | $34K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $29K |
| STEVE HAWLEY EIN 41-6023675 TRUSTEE | Trustee (individual) Service code 20 | — | $22K |
| MARTIN LAWRENCE EIN 41-6023675 TRUSTEE | Trustee (individual) Service code 20 | — | $18K |
| AL GUDIM EIN 41-6023675 TRUSTEE | Trustee (individual) Service code 20 | — | $9K |
| LOWELL BIALICK EIN 41-6023675 TRUSTEE | Trustee (individual) Service code 20 | — | $9K |
| FRSECURE EIN 26-3547185 NONE | Consulting (general) Service code 16 | — | $8K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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11 filings · 2015 to 2025