| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | MINNESOTA LIFE INSURANCE COMPANY | — | $87K | $87K | 2.27% |
| AON CONSULTING INC3 Filed as: AON HEWITT | 8182 MARYLAND AVE SUITE 1500 ST LOUIS, MO 63105 | MINNESOTA LIFE INSURANCE COMPANY | $4K | — | $4K | 0.10% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | MINNESOTA LIFE INSURANCE COMPANY | — | $44K | $44K | 2.27% |
| AON CONSULTING INC3 Filed as: AON HEWITT | 8182 MARYLAND AVE SUITE 1500 ST LOUIS, MO 63105 | MINNESOTA LIFE INSURANCE COMPANY | $2K | — | $2K | 0.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE INSURANCE COMPANY EIN 41-1289245 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $205K |
| ELK CREEK PARTNERS, LLC EIN 27-5463196 NONE | Direct payment from the plan; Investment management; Soft dollars commissions; Investment management fees paid directly by plan Service code 28 | — | $142K |
| STATE STREET BANK AND TRUST EIN 93-0249060 NONE | Trustee (directed); Soft dollars commissions; Direct payment from the plan; Investment management; Other fees; Custodial (other than securities); Investment management fees paid indirectly by plan; Investment management fees paid directly by plan; Custodial (securities) Service code 18 | — | $133K |
| ROBECO INVESTMENT MANAGEMENT, INC. EIN 98-0202744 NONE | Direct payment from the plan; Soft dollars commissions; Investment management; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan Service code 28 | — | $119K |
| SANDS CAPITAL MANAGEMENT, LLC EIN 20-2830751 NONE | Direct payment from the plan; Soft dollars commissions; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $82K |
| HEALTHSMART BENEFIT SOLUTIONS EIN 36-4099199 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $66K |
| MARATHON LONDON NONE | Investment management fees paid directly by plan; Investment management; Direct payment from the plan Service code 28 | 118. NORTH BEDFORD ROAD SUITE 202 MT KISCO, NY 10549 | $65K |
| DODGE AND COX EIN 94-1441976 NONE | Investment management; Soft dollars commissions; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Direct payment from the plan Service code 28 | — | $55K |
| WELLS CAPITAL MANAGEMENT EIN 95-3692822 NONE | Investment management; Direct payment from the plan; Investment management fees paid directly by plan Service code 28 | — | $47K |
| PIMCO EIN 33-0629048 NONE | Investment management fees paid directly by plan; Direct payment from the plan; Investment management Service code 28 | — | $39K |
| DELOITTE & TOUCHE LLP EIN 13-3891517 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $37K |
| AON HEWITT INVESTMENT CONSULTING EIN 36-2235791 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $21K |
| JENNISON ASSOCIATES LLC NONE | Investment management fees paid directly by plan; Direct payment from the plan; Investment management Service code 28 | 466 LEXINGTON AVENUE NEW YORK, NY 10017 | $13K |
| CIGNA EIN 23-1503749 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $12K |
| NEXT CENTURY GROWTH INVESTORS, LLC EIN 41-1923871 NONE | Direct payment from the plan; Investment management; Soft dollars commissions; Investment management fees paid indirectly by plan; Investment management fees paid directly by plan Service code 28 | — | $10K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,225 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 813 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,038 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts) | MINNESOTA LIFE INSURANCE COMPANY | 7,525 | $5.8M |
| Other(2 contracts) | MINNESOTA LIFE INSURANCE COMPANY | 7,525 | $5.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,525 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.