| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CORPORATE HEALTH SYSTEMS INC3 | 15153 TECHNOLOGY DR STE B EDEN PRAIRIE, MN 553442221 | RELISTAR LIFE INSURANCE COMPANY | $34K | — | $34K | 7.50% |
| SEVEN HILLS PARTNERS, INC.3 | 345 SAINT PETER STREET 2040 LANDMARK TOWERS SAINT PAUL, MN 551021211 | RELISTAR LIFE INSURANCE COMPANY | $34K | — | $34K | 7.50% |
| PREFERREDONE ADMINISTRATIVE SERVICE3 | 6105 GOLDEN HILLS DR GOLDEN VALLEY, MN 554161023 | RELISTAR LIFE INSURANCE COMPANY | — | $5K | $5K | 1.00% |
| CORPORATE HEALTH SYSTEMS INC3 | 15153 TECHNOLOGY DR STE B EDEN PRAIRIE, MN 553442221 | RELISTAR LIFE INSURANCE COMPANY | $3K | — | $3K | 0.73% |
| SEVENHILLS BENEFIT PARTNERS3 | 345 ST PETER ST 2040 LANDMARK TOWER ST PAUL, MN 55102 | MINNESOTA LIFE INSURANCE COMPANY | $20K | — | $20K | 10.54% |
| SEVENHILLS CLEVELAND LLC3 Filed as: SEVENHILLS PARTNERS INC | 345 ST PETER ST 2040 LANDMARK TOWERS SAINT PAUL, MN 55102 | STANDARD INSURANCE COMPANY | $17K | — | $17K | 17.84% |
| SEVENHILLS CLEVELAND LLC3 Filed as: SEVENHILLS PARTNERS INC | 345 ST PETER ST 2040 LANDMARK TOWERS SAINT PAUL, MN 55102 | STANDARD INSURANCE COMPANY | $9K | — | $9K | 10.84% |
| SEVENHILLS CLEVELAND LLC3 Filed as: SEVENHILLS PARTNERS INC | 345 ST PETER ST 2040 LANDMARK TOWERS SAINT PAUL, MN 55102 | STANDARD INSURANCE COMPANY | $9K | — | $9K | 17.93% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DDMN ASO, LLC EIN 41-1905554 N/A | Claims processing Service code 12 | — | $0 |
| PREFERREDONE RECORDKEEPER | Claims processing Service code 12 | 6105 GOLDEN HILLS DRIVE GOLDEN VALLEY, MN 554161025 | $0 |
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 | 345 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 345 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | MINNESOTA LIFE INSURANCE COMPANY | 743 | $270K |
| Short-term disability | STANDARD INSURANCE COMPANY | 280 | $50K |
| Long-term disability | STANDARD INSURANCE COMPANY | 526 | $96K |
| Other | RELISTAR LIFE INSURANCE COMPANY | 345 | $457K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 743 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.