No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF NORTH DAK EIN 45-0173185 NONE | Contract Administrator; Copying and duplicating; Claims processing Service code 12 | — | $2.8M |
| OPTUMRX EIN 33-0441200 NONE | Float revenue; Direct payment from the plan; Claims processing Service code 12 | — | $120K |
| COMMERCE BANK EIN 48-0962626 NONE | Direct payment from the plan; Investment management fees paid directly by plan Service code 50 | — | $75K |
| BENESYS, INC EIN 38-2383171 NONE | Actuarial Service code 11 | — | $72K |
| JOHNSON & KROL LLC EIN 36-4342024 NONE | Legal Service code 29 | — | $57K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing) Service code 10 | — | $26K |
| INTELLICENTS INVESTMENT SOLUTIONS EIN 41-1812533 NONE | Investment advisory (plan) Service code 27 | — | $24K |
| VIVID PRINTING EIN 27-1660893 NONE | Copying and duplicating Service code 36 | — | $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 | 3,987 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 492 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,479 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Prescription drug | SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC. | 650 | $2.2M |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 3,640 | $456K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,640 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.