| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $27K | $0 | $27K | 9.65% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62817 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $10K | $0 | $10K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BCBSMN, INC. EIN 41-0984460 NONE | Other fees; Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $1.3M |
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Contract Administrator; Claims processing Service code 12 | — | $1.2M |
| ERICKSON, BELL, BECKMAN, & QUINN P. EIN 80-0512394 NONE | Legal Service code 29 | — | $135K |
| COOKE & BIELER EIN 23-3082822 NONE | Soft dollars commissions; Securities brokerage commissions and fees; Investment management Service code 28 | — | $120K |
| DELTA DENTAL OF MN EIN 41-1852523 NONE | Claims processing Service code 12 | — | $96K |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Claims processing Service code 12 | — | $78K |
| CBIZ INVESTMENT ADVISORY SERVICES EIN 81-3968784 NONE | Investment advisory (plan) Service code 27 | — | $78K |
| VICTORY CAPITAL MANAGEMENT EIN 13-2700161 NONE | Soft dollars commissions; Investment management Service code 28 | — | $74K |
| REINHART BOERNER VAN DEUREN S.C. EIN 39-1126909 NONE | Legal Service code 29 | — | $64K |
| THE SEGAL COMPANY EIN 13-1975125 NONE | Actuarial Service code 11 | — | $63K |
| HIGHLAND CAPITAL MANAGEMENT EIN 27-5440911 NONE | Investment advisory (participants) Service code 26 | — | $54K |
| MAIRS & POWER, INC. EIN 41-0844499 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | — | $52K |
| UNION BANK & TRUST EIN 41-1267434 NONE | Other investment fees and expenses; Custodial (securities) Service code 19 | — | $48K |
| MN TEAMSTERS SERVICE BUREAU EIN 41-1513000 NONE | Claims processing Service code 12 | — | $47K |
| OPTUM RX, INC. EIN 33-0441200 NONE | Float revenue; Claims processing; Direct payment from the plan; Other fees Service code 12 | — | $34K |
| WCM INVESTMENT MANAGEMENT EIN 95-3046237 NONE | Securities brokerage commissions and fees; Investment management; Soft dollars commissions Service code 28 | — | $33K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $27K |
| STEVE HAWLEY EIN 41-6023675 TRUSTEE | Trustee (individual) Service code 20 | — | $18K |
| MARTIN LAWRENCE EIN 41-6023675 TRUSTEE | Trustee (individual) Service code 20 | — | $12K |
| AL GUDIM EIN 41-6023675 TRUSTEE | Trustee (individual) Service code 20 | — | $9K |
| LOWELL BIALICK EIN 41-6023675 TRUSTEE | Trustee (individual) Service code 20 | — | $8K |
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 | 2,982 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 356 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,338 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | STANDARD INSURANCE COMPANY | 3,088 | $284K |
| Long-term disability | STANDARD INSURANCE COMPANY | 2,714 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,088 | — |
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.