| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLS FARGO INSURANCE SERVICES3 | PO BOX 203501 DALLAS, TX 75320 | SUN LIFE ASSURANCE COMPANY OF CANADA | $17K | — | $17K | 3.38% |
| WELLS FARGO INSURANCE SERVICES3 | 1801 PARK VIEW DRIVE, 2ND FLOOR SHOREVIEW, MN 55126 | SUN LIFE ASSURANCE COMPANY OF CANADA | $16K | — | $16K | 3.31% |
| WELLS FARGO INSURANCE SERVICES3 | 400 HIGHWAY 169 SOUTH, 8TH FLOOR SAINT LOUIS PARK, MN 55426 | VISION SERVICE PLAN | $27K | — | $27K | 10.00% |
| WELLS FARGO INSURANCE SERVICES3 | 400 HIGHWAY 169 SOUTH, 8TH FLOOR SAINT LOUIS PARK, MN 55426 | METROPOLITAN LIFE INSURANCE COMPANY | $39K | $54 | $39K | 16.52% |
| WELLS FARGO INSURANCE SERVICES3 | 1018 WEST 9TH AVENUE KING OF PRUSSIA, PA 19406 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4K | $4K | 1.65% |
| WELLS FARGO INSURANCE SERVICES3 | 4300 MARKET DRIVE, SUITE 600 BLOOMINGTON, MN 55435 | AETNA LIFE INSURANCE COMPANY | $19K | — | $19K | 9.89% |
| WELLS FARGO INSURANCE SERVICES3 | 4300 MARKET DRIVE, SUITE 600 BLOOMINGTON, MN 55435 | AETNA INTERNATIONAL | $3K | — | $3K | 15.00% |
| WELLS FARGO INSURANCE SERVICES3 | 400 HIGHWAY 169 SOUTH, 8TH FLOOR SAINT LOUIS PARK, MN 55426 | LIFE INSURANCE COMPANY OF NORTH AMERICA | — | $10 | $10 | — |
No Schedule C service providers reported on this filing.
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 | 2,160 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 898 | $428K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 1,476 | $461K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,160 | $491K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,160 | $491K |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 42 | $192K |
| Other(4 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 2,160 | $281K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,160 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.