| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP, INC. | 80 SOUTH 8TH STREET MINNEAPOLIS, MN 55402 | BCBSM, INC. DBA BLUE CROSS BLUE SHIELD OF MINNESOTA | $26K | $32K | $57K | 22.28% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Contract Administrator; Accounting (including auditing) Service code 10 | — | $528K |
| BLUE CROSS BLUE SHIELD OF MN EIN 41-0984460 NONE | Other fees; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | — | $357K |
| PRIME THERAPEUTICS EIN 26-0076803 NONE | Float revenue; Other services; Claims processing; Other fees Service code 12 | — | $60K |
| DDMN ASO LLC EIN 41-1905554 NONE | Contract Administrator; Claims processing Service code 12 | — | $54K |
| BENEFIT PLAN ADMINISTRATION OF WI EIN 39-1400101 NONE | Actuarial Service code 11 | — | $46K |
| T.E.A.M., LLC EIN 81-4050818 NONE | Claims processing; Contract Administrator Service code 12 | — | $30K |
| KUTAK ROCK, LLP EIN 47-0597598 NONE | Legal Service code 29 | — | $22K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $21K |
| SEGALL BRYANT & HAMILL EIN 41-1788385 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $7K |
| DIMEO SCHNEIDER & ASSOCIATES EIN 36-4001764 NONE | Investment advisory (plan) Service code 27 | — | $7K |
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 | 1,889 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 98 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,987 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BCBSM, INC. DBA BLUE CROSS BLUE SHIELD OF MINNESOTA | 138 | $370K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,903 | $79K |
| Prescription drug(3 contracts, 2 carriers) | BCBSM, INC. DBA BLUE CROSS BLUE SHIELD OF MINNESOTA | 138 | $671K |
| Stop-loss / reinsurancereinsurance | BCBSM, INC. DBA BLUE CROSS BLUE SHIELD OF MINNESOTA | 1,875 | $256K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 1,903 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,903 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.