| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALAN NAGEL3 | MINNESOTA BENEFIT ADVISOR INC 17965 718TH AVE DASSEL, MN 55325 | HEALTHPARTNERS ADMINISTRATORS INC | $96K | $5K | $101K | 19.90% |
| MINNESOTA BENEFIT ADVISORS INC3 | 17965 718TH AVE DASSEL, MN 55325 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 6.21% |
| MINNESOTA BENEFIT ADVISORS INC3 | 17965 718TH AVE DASSEL, MN 55325 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 6.62% |
| JENNON CARUTH3 | STE 710 7825 WASHINGTON AVE S BLOOMINGTON, MN 55439 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $721 | — | $721 | 1.63% |
| SMITH, THOMAS, CHRISTOPHER3 | 2928 FOSTER CREIGHTON DR NASHVILLE, TN 55439 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $368 | $233 | $601 | 1.36% |
| MINNESOTA BENEFIT ADVISORS INC3 | 17965 718TH AVE DASSELL, MN 55325 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 15.00% |
| MINNESOTA BENEFIT ADVISORS INC3 | 17965 718TH AVE DASSEL, MN 55325 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 15.00% |
| MINNESOTA BENEFIT ADVISORS INC3 | 17965 718TH AVE DASSEL, MN 55325 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| MINNESOTA BENEFIT ADVISORS INC3 Filed as: MINNESOTA BENEFIT ADVISORS | 17965 718 AVE DASSEL, MN 55325 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 8.02% |
| SMITH, THOMAS, CHRISTOPHER3 | 2928 FOSTER CREIGHTON DR NASHVILLE, TN 37204 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $141 | $76 | $217 | 1.60% |
| CARUTH, JENNON, M3 | STE 710 7825 WASHINGTON AVE S BLOOMINGTON, MN 55439 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $197 | — | $197 | 1.46% |
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 | 335 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 343 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTHPARTNERS ADMINISTRATORS INC | 263 | $507K |
| Dental | HEALTHPARTNERS ADMINISTRATORS INC | 263 | $507K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 130 | $16K |
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 335 | $113K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 95 | $39K |
| Other(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 335 | $144K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 335 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.