| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEVENHILLS CLEVELAND LLC3 | 7900 INTERNATIONAL DRIVE SUITE 990 BLOOMINGTON, MN 55425 | DDMN ASO, LLC | $6K | — | $6K | 2.22% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | DDMN ASO, LLC | $6K | — | $6K | 2.08% |
| SEVENHILLS BENEFIT PARTNERS3 | 7900 INTERNATIONAL DRIVE SUITE 990 BLOOMINGTON, MN 55425 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $14K | — | $14K | 10.84% |
| SEVENHILLS BENEFIT PARTNERS3 | 7900 INTERNATIONAL DRIVE SUITE 900 BLOOMINGTON, MN 55425 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 12.99% |
| SEVENHILLS BENEFIT PARTNERS3 | 7900 INTERNATIONAL DRIVE SUITE 990 BLOOMINGTON, MN 55425 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 11.03% |
| SEVENHILLS BENEFIT PARTNERS3 | 7900 INTERNATIONAL DRIVE SUITE 990 BLOOMINGTON, MN 55425 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 10.84% |
| SEVENHILLS BENEFIT PARTNERS3 | 7900 INTERNATIONAL DRIVE SUITE 990 BLOOMINGTON, MN 55425 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $354 | — | $354 | 10.97% |
| SEVENHILLS BENEFIT PARTNERS3 | 7900 INTERNATIONAL DRIVE SUITE 990 BLOOMINGTON, MN 55425 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $909 | $749 | $2K | — |
| 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 | 618 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 618 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DDMN ASO, LLC | 793 | $277K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 618 | $168K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 405 | $0 |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 571 | $67K |
| Other(3 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 580 | $396K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 793 | — |
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."
No prospect flags tripped on this filing.