| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LABOR FIRST LLC3 | 1000 MIDLANTIC DRIVE, STE 100 MOUNT LAUREL, NJ 08054 | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | $32K | — | $32K | 7.88% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES | 80 SOUTH 8TH STREET, STE 700 MINNEAPOLIS, MN 55402 | HCC LIFE INSURANCE COMPANY | $25K | — | $25K | 9.69% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Accounting (including auditing); Contract Administrator Service code 10 | — | $585K |
| UMR, INC. EIN 39-1995276 NONE | Other fees; Claims processing; Contract Administrator Service code 12 | — | $539K |
| T.E.A.M., LLC EIN 81-4050818 NONE | Contract Administrator; Claims processing Service code 12 | — | $61K |
| DDMN ASO LLC EIN 41-1905554 NONE | Contract Administrator; Claims processing Service code 12 | — | $52K |
| KUTAK ROCK, LLP EIN 47-0597598 NONE | Legal Service code 29 | — | $51K |
| BENESYS, INC. EIN 38-2383171 NONE | Actuarial Service code 11 | — | $45K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $21K |
| SEGALL BRYANT & HAMILL EIN 35-2679129 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $11K |
| US BANK EIN 31-0841368 NONE | Custodial (securities) Service code 19 | — | $8K |
| HONSA-BINDER PRINTING EIN 41-1605232 NONE | Copying and duplicating Service code 36 | — | $7K |
| FIDUCIENT ADVISORS EIN 36-4001764 NONE | Investment advisory (plan) Service code 27 | — | $7K |
| ST. CROIX PRESS, INC. EIN 39-1151669 NONE | Copying and duplicating Service code 36 | — | $6K |
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 | 1,821 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 98 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,919 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 142 | $402K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,817 | $92K |
| Prescription drug | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 142 | $402K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 3,658 | $260K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 2,817 | $92K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,658 | — |
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.