| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NORTH RISK PARTNERS LLC3 | 2010 CENTRE POINTE BLVD MENDOTA HEIGHTS, MN 55120 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 12.55% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 45-0173185 | Claims processing; Contract Administrator Service code 12 | — | $580K |
| NORTH RISK PARTNERS EIN 20-2217323 NONE | Consulting (pension) Service code 17 | — | $104K |
| STINSON LLP NONE | Legal Service code 29 | — | $76K |
| FIRST INTERNATIONAL BANK & TRUST EIN 45-0135280 NONE | Custodial (other than securities) Service code 18 | — | $60K |
| MILLIMAN NONE | Consulting (pension) Service code 17 | — | $48K |
| WIDMER ROEL PC EIN 45-0334950 NONE | Accounting (including auditing) Service code 10 | — | $29K |
| AGC OF NORTH DAKOTA EIN 45-0229993 NONE | Contract Administrator Service code 13 | — | $8K |
| PRIME THERAPEUTICS NONE | Other fees Service code 99 | 1305 CORPORATE CENTER DRIVE EAGAN, MN 55121 | $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 | 564 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 714 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,278 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 1,027 | $1.2M |
| Life insurance | STANDARD INSURANCE COMPANY | 310 | $16K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF NORTH DAKOTA | 1,027 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,027 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.