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: Labor First LLC HealthRx | HealthRx | |
Broker: Brown and Brown Insurance Services Stop-loss | Stop-loss |
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 | 1,191 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,191 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 58 | $216K |
| Prescription drug | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 58 | $216K |
| Stop-loss / reinsurancereinsurance | BCBSMN, INC. | 1,187 | $99K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,187 | - |
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: Sierra Health and Life Insurance Company, Inc. | |
Carrier: Bcbsmn, Inc. |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Contract Administrator Service code 13 | — | $731K |
| BCBSMN, INC. EIN 41-0984460 NONE | Contract Administrator; Other fees; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $375K |
| BENEVELLE CONSULTING CORPORATION EIN 88-3202021 NONE | Actuarial Service code 11 | — | $60K |
| MEDIMPACT EIN 33-0567651 NONE | Claims processing Service code 12 | — | $53K |
| REINHART BOERNER VAN DEUREN SC EIN 39-1126909 NONE | Legal Service code 29 | — | $52K |
| DDMN ASO, LLC EIN 41-1852523 NONE | Claims processing Service code 12 | — | $35K |
| T.E.A.M., LLC EIN 81-4050818 NONE | Claims processing Service code 12 | — | $30K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $23K |
| CURI RMB CAPITAL LLC EIN 59-3792751 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $17K |
| OLD NATIONAL BANK EIN 35-1729164 NONE | Custodial (other than securities) Service code 18 | — | $13K |
| FOREST PRINTING EIN 36-2945683 NONE | Copying and duplicating Service code 36 | — | $5K |
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