| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEVEN HILLS PARTNERS, INC.3 | 345 SAINT PETER STREET 2040 LANDMARK TOWERS SAINT PAUL, MN 551021211 | RELISTAR LIFE INSURANCE COMPANY | — | $35K | $35K | 7.50% |
| CORPORATE HEALTH SYSTEMS INC3 | 15153 TECHNOLOGY DR STE B EDEN PRAIRIE, MN 553442221 | RELISTAR LIFE INSURANCE COMPANY | — | $20K | $20K | 4.38% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE SUITE 1950 ATLANTA, GA 303395946 | RELISTAR LIFE INSURANCE COMPANY | — | $14K | $14K | 3.12% |
| CORPORATE HEALTH SYSTEMS INC3 | 15153 TECHNOLOGY DR STE B EDEN PRAIRIE, MN 553442221 | RELISTAR LIFE INSURANCE COMPANY | — | $6K | $6K | 1.27% |
| PREFERREDONE ADMINISTRATIVE SERVICE3 | 6105 GOLDEN HILLS DR GOLDEN VALLEY, MN 554161023 | RELISTAR LIFE INSURANCE COMPANY | — | $5K | $5K | 1.00% |
| SEVENHILLS BENEFIT PARTNERS3 | 345 ST PETER ST 2040 LANDMARK TOWER ST PAUL, MN 55102 | MINNESOTA LIFE INSURANCE COMPANY | $21K | — | $21K | 10.53% |
| SEVENHILLS CLEVELAND LLC3 Filed as: SEVENHILLS PARTNERS INC | 345 ST PETER ST 2040 LANDMARK TOWERS SAINT PAUL, MN 55102 | STANDARD INSURANCE COMPANY | $17K | — | $17K | 18.71% |
| SEVENHILLS CLEVELAND LLC3 Filed as: SEVENHILLS PARTNERS INC | 345 ST PETER ST 2040 LANDMARK TOWERS SAINT PAUL, MN 55102 | STANDARD INSURANCE COMPANY | $9K | — | $9K | 12.31% |
| SEVENHILLS CLEVELAND LLC3 Filed as: SEVENHILLS PARTNERS INC | 345 ST PETER ST 2040 LANDMARK TOWERS SAINT PAUL, MN 55102 | STANDARD INSURANCE COMPANY | $9K | — | $9K | 18.62% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DDMN ASO, LLC EIN 41-1905554 N/A | Claims processing Service code 12 | — | $0 |
| PREFERREDONE ADMINISTRATIVE SERVICE EIN 41-1846481 RECORDKEEPER | Claims processing Service code 12 | — | $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 | 563 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 563 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | MINNESOTA LIFE INSURANCE COMPANY | 754 | $270K |
| Short-term disability | STANDARD INSURANCE COMPANY | 271 | $47K |
| Long-term disability | STANDARD INSURANCE COMPANY | 520 | $90K |
| Other | RELISTAR LIFE INSURANCE COMPANY | 345 | $461K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 754 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.