| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PRIMARY BENEFIT SERVICES3 | PO BOX 336 LITTLE FALLS, MN 56345 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| SHEFFIELD OLSON & MCQUEEN, INC3 Filed as: SHEFFIELD OLSON & MCQUEEN INC | 2145 FORD PARKWAY STE 300 ST PAUL, MN 55116 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| PRIMARY BENEFIT SERVICES3 | PO BOX 336 LITTLE FALLS, MN 56345 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| SHEFFIELD OLSON & MCQUEEN, INC3 Filed as: SHEFFIELD OLSON & MCQUEEN INC | 2145 FORD PARKWAY STE 300 ST PAUL, MN 55116 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| PRIMARY BENEFIT SERVICES3 | PO BOX 336 LITTLE FALLS, MN 56345 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| SHEFFIELD OLSON & MCQUEEN, INC3 Filed as: SHEFFIELD OLSON & MCQUEEN INC | 2145 FORD PARKWAY STE 300 ST PAUL, MN 55116 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| PRIMARY BENEFIT SERVICES3 | PO BOX 336 LITTLE FALLS, MN 56345 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| SHEFFIELD OLSON & MCQUEEN, INC3 Filed as: SHEFFIELD OLSON & MCQUEEN INC | 2145 FORD PARKWAY STE 300 ST PAUL, MN 55116 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| PRIMARY BENEFIT SERVICES3 | PO BOX 336 LITTLE FALLS, MN 56345 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 10.00% |
| SHEFFIELD OLSON & MCQUEEN, INC3 Filed as: SHEFFIELD OLSON & MCQUEEN INC | 2145 FORD PARKWAY STE 300 ST PAUL, MN 55116 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| ANDREW JAMIN GRIMSLEY3 | 1639 GOETTENS WAY SAINT CLOUD, MN 56301 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $88 | $2K | 20.99% |
| PRIMARY BENEFIT SERVICES3 | PO BOX 336 LITTLE FALLS, MN 56345 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 18.00% |
| MARC A GROVE3 | 25900 AUTUMN WAY ROGERS, MN 55374 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $257 | $360 | $617 | 8.45% |
| ROBERT SCOTT BRUNER3 | 24620 E CEDAR LAKE DR NEW PRAGUE, MN 56071 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $258 | $282 | $540 | 7.40% |
| CARRIE S FLATEN3 | 2606 86TH CT W NORTHFIELD, MN 55057 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $250 | $22 | $272 | 3.73% |
| ELIZABETH MARIE LANGEVIN3 | 698 W LARPENTEUR AVE ST PAUL, MN 55113 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $7 | $24 | 0.33% |
| NATALIE SUZANNE FONVILLE3 | 1600 THOMAS AVE N MINNEAPOLIS, MN 55411 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $2 | $6 | 0.08% |
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 | 181 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 181 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 160 | $11K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 180 | $33K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 181 | $23K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 181 | $19K |
| Other(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 180 | $40K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 181 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.