No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORIDIAN MUTUAL INSURANCE COMPANY EIN 45-0173185 NONE | Claims processing Service code 12 | — | $2.4M |
| ANDERSON, HELGEN, DAVIS & CEFALU EIN 26-3644998 NONE | Legal Service code 29 | — | $221K |
| OPTUMRX EIN 33-0441200 NONE | Direct payment from the plan; Float revenue; Other fees; Claims processing Service code 12 | — | $151K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | — | $71K |
| COMMERCE TRUST COMPANY EIN 48-0962626 NONE | Investment management Service code 28 | — | $60K |
| CHARTWELL BENEFITS CONSULTING EIN 41-2013371 NONE | Consulting (general); Investment advisory (plan) Service code 16 | — | $57K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $20K |
| SCHUCHAT, COOK, & WERNER EIN 43-0763010 NONE | Legal Service code 29 | — | $15K |
| US BANK N.A. EIN 31-0841368 NONE | Investment management Service code 28 | — | $9K |
| VAN IWAARDEN ASSOCIATES EIN 41-1894458 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 | 3,327 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 527 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,854 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Prescription drug | BLUE CROSS AND BLUE SHIELD OF NORTH DAKOTA | 653 | $825K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 653 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.