| 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. | $22K | — | $22K | 10.26% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN INSURANCE SERVICES | 901 MARQUETTE AVENUE, STE 1800 MINNEAPOLIS, MN 55402 | BCBSMN, INC. | $10K | $0 | $10K | 11.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 13 | — | $704K |
| BCBSMN, INC. EIN 41-0984460 NONE | Other fees; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing Service code 12 | — | $360K |
| MEDIMPACT EIN 33-0567651 NONE | Claims processing Service code 12 | — | $61K |
| REINHART BOERNER VAN DEUREN SC EIN 39-1126909 NONE | Legal Service code 29 | — | $49K |
| BENEVELLE CONSULTING CORPORATION EIN 88-3202021 NONE | Actuarial Service code 11 | — | $48K |
| DDMN ASO, LLC EIN 41-1852523 NONE | Claims processing Service code 12 | — | $33K |
| T.E.A.M., LLC EIN 81-4050818 NONE | Claims processing Service code 12 | — | $28K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $22K |
| CURI RMB CAPITAL LLC EIN 59-3792751 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $16K |
| KUTAK ROCK LLP EIN 47-0597598 NONE | Legal Service code 29 | — | $16K |
| ANDREW BRANSKY & POOLE PA EIN 41-1502219 NONE | Legal Service code 29 | — | $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 | 1,182 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,182 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 82 | $210K |
| Prescription drug | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 82 | $210K |
| Stop-loss / reinsurancereinsurance | BCBSMN, INC. | 1,179 | $90K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,179 | — |
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.