| 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 | BCBSMN, INC. | $10K | — | $10K | 9.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WILSON-MCSHANE CORPORATION EIN 41-0956552 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Accounting (including auditing); Contract Administrator Service code 10 | — | $671K |
| BCBSMN, INC. EIN 41-0984460 NONE | Other fees; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $375K |
| KUTAK ROCK LLP EIN 47-0597598 NONE | Legal Service code 29 | — | $96K |
| ELIXIR RX SOLUTIONS LLC EIN 90-1011712 NONE | Claims processing Service code 12 | — | $66K |
| BENEVELLE CONSULTING CORPORATION EIN 41-1605232 NONE | Actuarial Service code 11 | — | $39K |
| DDMN ASO, LLC EIN 41-1852523 NONE | Claims processing Service code 12 | — | $32K |
| T.E.A.M., LLC EIN 81-4050818 NONE | Claims processing Service code 12 | — | $24K |
| RMB CAPITAL MGMT LLC EIN 59-3792751 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $21K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $21K |
| ANDREW BRANSKY & POOLE PA EIN 41-1502219 NONE | Legal Service code 29 | — | $8K |
| BENESYS, INC EIN 38-2383171 NONE | Actuarial Service code 11 | — | $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 | 1,183 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,183 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 92 | $273K |
| Prescription drug | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 92 | $273K |
| Stop-loss / reinsurancereinsurance | BCBSMN, INC. | 1,174 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,174 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.