| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIANA WILLIAMS3 | 505 WATERFORD PARK HWY 169 STE 1100 PLYMOUTH, MN 55441 | BLUECROSS BLUESHIELD OF TENNESSEE INC | $50K | — | $50K | 2.24% |
| ENROLLEASE3 Filed as: THE KNW GROUP LLC | 505 WATERFORD PARK STE 1100 PLYMOTH, MN 55441 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $17K | — | $17K | 2.22% |
| ENROLLEASE3 Filed as: THE KNW GROUP LLC | 505 WATERFORD PARK STE 1100 PLYMOTH, MN 55441 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $13K | — | $13K | 2.04% |
| ENROLLEASE3 Filed as: KNW GROUP LLC | 505 WATERFORD PARK STE 1100 PLYMOTH, MN 55441 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $19K | $3K | $22K | 10.78% |
| ENROLLEASE3 Filed as: THE KNW GROUP LLC | 505 WATERFORD PARK STE 1100 PLYMOTH, MN 55441 | VISION SERVICE PLAN | $1K | — | $1K | 4.43% |
| KNOLL PETER ALLEN3 | 16220 TURNBERRY TURN NW RAMSEY, MN 55303 | PROVIDENT LIFE INSURANCE COMPANY OF AMERICA | $87 | — | $87 | 1.53% |
| ENROLLEASE3 Filed as: THE KNW GROUP LLC | 505 WATERFORD PARK STE 1100 PLYMOTH, MN 55441 | PROVIDENT LIFE INSURANCE COMPANY OF AMERICA | $27 | — | $27 | 0.48% |
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 | 467 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 469 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TENNESSEE INC | 349 | $3.6M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 424 | $20K |
| Vision | VISION SERVICE PLAN | 231 | $34K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 456 | $207K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 456 | $202K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 456 | $202K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 456 | $202K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 456 | — |
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.